one see this reality everyday at hhs. you see it on the campuses, the national institutes of health. where our nation's top medical researchers are crossing the next frontier of understanding the and cures. on the campus of the food and drug administration, where our nation safety and innovation are front and center. you see it in the fearless men and women who pack their bags, left their own families to save families in west africa from ebola. and ready to make that journey whenever they get called. you see the reality in as head start classrooms. where young minds of today have a chance to become our scholars and leader of tomorrow. you see it in the healthcare professional. some in this audience who are out there trying to build a better healthcare system. this is the reality of the complexcy of our nation's healthcare system and outcomes that everyone is working towards. today, i want to focus on a simple frame on our complex system. when orients are discussion on where we want the future of healthcare reform to go. i

one sees this reality every day at hhs. you see it on the campuses at the national institutes of health where our nation's top medical researchers are crossing the next frontier of understanding of diseases and cures through things like precision medicine. on the campus of the food and drug administration, where our nation's safety and innovation are front and center. you see it in the fearless men and women who packed their bags, left this own families to save families in west africa from ebola and are always ready to make that perilous journey whenever they get called. you see the reality as provost mentioned in head start classrooms where young minds of today have a chance to become our scholars and our leaders of tomorrow and you see it in the health care professionals. some in this audience this morning who are out there trying to build a better health care system. this is the duality of the intricate complexity of our nation's health care system and simple outcomes that everyone is working towards. so day want to focu

hhs? are the federal policies causing delays, in response efforts? are we utilizing our resources in the most efficient and effective ways to help our fellow americans in puerto rico and the u.s. virgin islands in particular. finally, it is critical that we understand the public health challenges ahead. as we have seen after hurricane harvey, there's an increased risk for the spread of infectious disease due to contaminated water. media reports indicate that one month after hurricane maria, over 1 million americans are still without clean, safe drinking water. rebuilding puerto rico and the u.s. virgin islands will take years. the health care systems are in dire condition and most of the operational facilities need some degree of assistance. to make matters worse, the electrical grid has been devastated, which has significantly hampered recovery efforts. we still don't even know the full extent of the damage, let alone when our fellow citizens will have electricity and running water restor

hhs -- when i include that it's the diaspora. the cms, fda and cdc and the parter of dhs and dod have push the boundary tuesday save lives and sport the communes and people impacted by these major hurricanes. i recognize in regions? puerto rico and virgin island people are still facing dire conditions. saw that for myself in the devastation first hand and can assure you that hhs continues our response of 110% and will work as hard as we can until conditions improve. this is my first time testifying before the committee i'll begin with a brief description on my view of the role of this position. after it was created almost 11 years ago in response to hurricane katrina, by the pandemic preparedness act the objective was to create unity of command by con soul dating hhs, public health and medical preparedness and response functions under one person, i had the privilege or serving as a staff director of the subcommittee that drafted the legs. the mission is my to save -- simply to save lives and we lead the public health and until re

hhs? are we utilizing our resources in the most efficient and effective ways to help our fellow americans in puerto rico and u.s. virgin islands in particular? it is critical that we understand the public health challenges ahead. mold formation is likely in nearly all the effected regions. as we have seen after hurricane harvey there is increased risk of spread ofinfectious disease. over one million americans are still without clean, safe drinking water. rebuilding puerto rico and u.s. virgin islands will take years. the health care systems are in direcondition and most of the operational facilities need some degree of assistance. to make matters worse the electrical grid has been devastated which has significantly hampered recoveryefforts. we don't know the full extent of the damage let alone when we will have electricity and running water restored. we are trying to make sure we do everything possible to addressthe short and long term needs. especially in the face of thepublic health risk

one sees this railed every day at hhs. you see it on the campuses of the national institutes of health where our nation's top medical researchers are crossing the next frontier of our understanding of diseases and tears through things like precision medicine. on the campus of the fda, where our nation's safety and innovation are front and center. you see it in the fearless men and women who pack their bags, left their own families to say families in west africa from ebola, and always ready to make that perilous journey whenever they get called. you see the reality in as provost bass mentioned head start classroom for young minds of the day have a chance to become both our scholars and our leaders of tomorrow. and use it in the health care professionals, some in this audience this morning, who are out there trying to build a better health care system. this is the duality of the complexity of our nation's health care system, and simple outcomes that everyone is working towards. today i want to focus on a simple frame on our

hhs liaison was there doing an amazing job. i went further spot community and did not stay in san juan and listen just to leaders. i listened to pediatricians on the ground, shelter coordinators, patients that were on the ground. what i can tell you, these are the problems. one, there's a lack of clarity of leadership. i'm talking to high-level officials from all the different agencies and i'm not going to mention names but the folks in the puerto rican government are saying fema is running the show. people at fema are saying we're taking orders from the puerto rican government. i talk to people from hhs and they are saying we don't communicate very much with the needs with the dod. so there's a lack of clarity with who is actually running the show in puerto rico. two, there's a lack of coordination. you're not going to get the full picture, folks, if you stay in san juan. you're not going to get the full picture if your leadership and people making decisions are based in san juan in a convention center with air conditioning an

at hhs there is the idea. that is a place where ideas and innovation, we were encouraging that with the department and without our department and by the time this was started by my predecessor kathleen stabile yes, by the time i got there the conferences drew people from around the world in terms of how to use technology or other innovations so those things were going on, incredible things like the story of individuals from the centers for disease control and prevention who rode through in liberia, up rivers to get ebola samples to figure out if those people had ebola. seeing is surprising, it is uplifting and great to see the positive things that are going on every day in a huge department at large. >> in a conference of lawyers -- describe a little bit of the goal lawyers play in health policy and health reform. >> incredibly important. i would start in the clinton administration when i worked in the clinton administration i had a thing, a lawyer a day can keep a subpoena away. it didn't necessarily keep the

hhs? >> in situations like in puerto rico where you have an unheard of situation with no water, no power, you have no ability. we work with all of our partners as well as the fema teams and everyone on the ground. they work with federal and state, and the territory officials in puerto rico to pull together, to get patients to a safe place. if they don't have that ability to provide care, we were together to get the transported to a safer place. >> thank you. i appreciate it. i yield back. recognize the gentleman from texas for five minutes. >> thank you mr. chairman. area, anom the houston urban area, i heard today we had our second death from flesh eating bacteria in galveston county. we had one to the south of us, but also to the north we had a 77-year-old lady that passed away. we have great medical facilities . is that brennan -- hasn't that been prevalent in puerto rico. i'm not aware of cases that have occurred in other hurricane affected areas. the condition you are describing is pr

one sees the reality every day at hhs. you see it where nation's top medical researchers are crossing the next fight frontier through things like precision medicine. on the campus of the fda were safety a and innovation are front and center you see it in the men and women who packed their bags, left their families to say families in west africa from ebola and are ready to make that journey when they get called. you see the reality and headstart classrooms where young minds have the chance to become our scholars and leaders of tomorrow. you sit in healthcare professionals in this audience this morning for trying to build a better healthcare system. this is the complexity of the system in simple outcomes that everyone is working towards. today i want to focus on what orients our discussion on where we want the future of healthcare reform to go. how we improve the access, quality, and affordability of our nation's healthcare system. i want to highlight how people can maintain the progress. first, access. in november last year

has the interagency response beeneffective from the hhs? are we utilizing our resources in the most efficient and effective ways to help our fellow americans in puerto rico and u.s. virgin islands in particular? it is critical that we understand the public health challenges ahead. mold formation is likely in nearly all the effected regions. as we have seen after hurricane harvey there is inse

further hhs is working to ensure the allocations and policies are as clinically sound, evidence-based, effective, and efficient as they can be. sampsa in the past four years more than 62,000 medical professionals have participated in online or funded training on medication assisted treatment for opioid use disorders in. they provide waivers to providers that provide the treatment of opioid addiction. last year there was a final rule published allowing physicians to provide a drug to obtain a waiver to treat up to 175 patients. as of september 19th, many physicians have done so. as of september 19th, 2075, nurse practitioners and 735 physician assistants received a waiver from sampsa. over three years in the building communities of recovery grant program provided by cara. there's an effort to increase the availability and use of naloxin. we are providing grants to prevent opioid overdose related deaths being used to train first responders and distribute naloxa. almost $46 million to over five years to grants in 25 states to provide resources to first responders as well as substance abu

. >> ask you about the hhs decision to extend the contraception waiver. the. >> the aclu says the trump administration is forcing women to pay for their boss' religious pursuit. the federal government cannot how to discrimination against women in the name of religion or otherwise. your response would be what. >> i don't think it's been a secret i would probably never use the aclu to get my talking points. the president believes the freedom to practice one's faith is a fundamental right in this country and all of us do, and that's all that today was about. our federal government should always protect that right, and as long as donald trump is president he will. >> you're not responding to the aclu. washington what would you say to the women out there or to the families out there who now have to pay more out of their pocket to get contraception coverage. >> this president supports the first amendment, supports the freedom of religion. the supreme court has validated this decision, certainly many times over, and the president is somebody who believes in the

if he's been hhs secretary. president trump was not happy, curious. >> i felt very bad night because price is a good man but we are looking into it and we are looking into it very strongly. >> chris: price is not alone. epa administrator scott pruitt, steven mnuchin, ryan zinke and secretary david shelton have all flown on private government plans at taxpayer expense. chuck, how big a deal is this and how about the fact as republicans point out that various democrats when they were in positions of power to the same thing? >> how big a deal as it? i think if we didn't have this big story about puerto rico and the nfl and all the other things that this would have been an even bigger story because it does go right to that perception of the trump administration, to some extent created by the president himself and his heavy expenditures on secret service protection and travel back and forth to new jersey, they are a little loose with the taxpayers dime when it comes to their own personal comfort. i think it's very si

one sees the reality every day at hhs. you see it where nation's top medical researchers are crossing the next fight frontier through things like precision medicine. on the campus of the fda were safety a and innovation are front and center you see it in the men and women who packed their bags, left their families to say families in west africa from ebola and are ready to make that journey when they get called. you see the reality and headstart classrooms where young minds have the chance to become our scholars and leaders of tomorrow. you sit in healthcare professionals in this audience this morning for trying to build a better healthcare system. this is the complexity of the system in simple outcomes that everyone is working towards. today i want to focus on what orients our discussion on where we want the future of healthcare reform to go. how we improve the access, quality, and affordability of our nation's healthcare system. i want to highlight how people can maintain the progress. first, access. in november last year

depending on what happens with further appeals in this case, depending on what hhs chooses to do here about this girl, it looks like the anti-abortion activist who trump appointed to run the office of refugee resettlement, looks like he may succeed by forcing this girl to give birth by blocking her ability to is he a doctor to end the pregnancy until it is too late for her to do so. there were protests today outside the hhs building in d.c., people protesting on behalf of this young woman, that she should be atloud hallowed tn abortion if she wants one. this woman does have the right to do it. she's in the united states, right? but watch the space on this one. there's the critical matter of what's going to happen to this one teen-ager, but this may also be -- this case may also be the best public window into what we've got into what might be happening much more quietly, which may very well be dozens of teen-age girls in the same circumstances. as of march, hhs believed there were nearly 40 teen-age girls who were pregnant who were under the supervision of this office. and at least in

hhs says that they hope that the poor judgment of one person will not tar the more than 500 hhs personnel that are on the islands. moving on, though, we have breaking news out of las vegas. >> police just updated their investigation into this months old shooting. this month's shooting outside of mandalay bay. they defended the department's response to the massacre. >> in the public space, the word incompetence has been brought forward. i am absolutely offended with that characterization. this is a very dynamic event. very big event. thousands of people involved. humans involved in documentat n documentation. there is no conspiracy between the fbi, between lvmpd and the mgm. nobody is attempting to hide anything reference this investigation. >> justice correspondent pete williams is standing by in our newsroom. pete, the timeline has been muds i. what clarification are they offering? >> first, i should explain why sheriff lombardo said what he said. there's been a lot of talk on social media accusing the sheriff's office of all sorts of things. i think that has gotten under his skin. that'

hhs secretary tom price is out, resigning after reports of his private plane travel paid for by taxpayers. tonight, what that means for the trump pledge to drain the swamp. >>> also the president touts an incredible job on hurricane maria response, as the san juan mayor cries, we're dying here. warning of something close to genocide if food and water don't arrive soon. that mayor joins us in a moment. "the 11th hour" on a friday night begins now. >>> good evening once again from our nbc news headquarters here in new york. i'm ali velshi in for brian williams. it's day 253 of the trump administration. the president is dealing with a growing humanitarian crisis in puerto rico. he's down a secretary of health and human services. tom price right hand today as criticism mounted about how he chose to travel for work. politico reports he racked up a million tab that taxpayers are on the hook for by using private jets and military planes for trips everywhere from philadelphia to europe with his wife. we'll talk about price being out and the other members of the administration who have taken priva

so far hhs appears to be physically blocking her from going to get it. if you look at that another way, it really is pretty much the government forcing her to give birth against her will. the trump administration appears ready to litigate this to biologically what may be the point of no return for this teenage girl, but as of tonight, a federal appeals court says this girl must be allowed to go forward with this procedure. she must be released from hhs to a doctor's office so she can have it done. we will see if the trump administration tries to get the supreme court to stop her now, even beyond this. but keep an eye on that story. again, federal appeals court ruling. it's possible the trump administration may try to appeal it to the supreme court as well. >>> one other story today that flew below the radar, but i think worth knowing because my personal view, i feel like this is an ethically inexplicable story. today, the fbi without warning and without notice, they released more than 1,000 pages of fbi documents related to their investigation of the mas

so far hhs appears to be physically blocking her from going to get it. if you look at that another way, it really is pretty much the government forcing her to give birth against her will. the trump administration appears ready to litigate this to biologically what may be the point of no return for this teenage girl, but as of tonight, a federal appeals court says this girl must be allowed to go forward with this procedure. she must be released from hhs to a doctor's office so she can have it done. we will see if the trump administration tries to get the supreme court to stop her now, even beyond this. but keep an eye on that story. again, federal appeals court ruling. it's possible the trump administration may try to appeal it to the supreme court as well. >>> one other story today that flew below the radar, but i think is worth knowing because my personal view, i feel like this is an ethically inexplicable story. today, the fbi without warning and without notice, they released more than 1,000 pages of fbi documents related to their investigation of the

hhs appreciates congress's dedication to this issue as evidenced by the cures act. in my role as assistant secretary for mental health and substance use, i lead the substance abuse -- i appreciate the opportunity to share with you a portion of samhsa's port fo -- portfolio. samhsa is administering the opioid state targeted response grants program created by the 21st century cures act by providing $485 million to states and fiscal year 2017, this program is increasing access to treatment, reducing unmet treatment need, and reducing opioid overdose related deaths through the provision of prevention, treatment and recovery services. further we're working to ensure the funding allocations and policies are as clinically sound, evidence based and official as they can be. for example, in the past four years more than 62,000 medical professionals have participated in online or in-person samhsa funded trainings on medication assisted treatment for opioid use disorders. regulates treatment programs and provides waivers that provide for the treatment of opioid addiction. last

if he's been hhs secretary. president trump was not happy, curious. >> i felt very bad night because price is a good man but we are looking into it and we are looking into it very strongly. >> chris: price is not alone. epa administrator scott pruitt, steven mnuchin, ryan zinke and secretary david sheln plans at taxpayer expense. chuck, how big a deal is this and how about the fact as republicans point out that various democrats when they were in positions of power to the same thing? >> how big a deal as it? i think if we didn't have this big story about puerto rico and the nfl and all the other things that this would have been an even bigger story because it does go right to that perception of the trump administration, to some extent created by the president himself and his heavy expenditures on secret service protection and travel back and forth to new jersey, they are a little loose with the taxpayers dime when it comes to their own personal comfort. i think it's very significant that the president asked m pr

disaster medical assistance team is overseen by hhs. this is not fema which is heavily criticized for a lack of preparedness. to be clear this is not fema. doctor, i know you have traveled the world doing this. you were in haiti after the earthquake there. you were one of the first western doctors on the ground in indonesia after the tsunami. you have seen a lot. take us to this day when you saw this. help us understand what happened and what struck you as wrong. >> certainly. i was treating patients as i always do. i was the only team physician left in the two tents that were seeing patients. i went to another tent just adjacent to get some food and styrofoam containers that the hospital was providing for my patients since we would keep patients in the tent for hours at a time. i went to get some food and i i walked in and i was surprised to see a manicurist sitting at a table painting the nails of one of my key members and i didn't know what was happening. >> and we are seeing pictures here. you say you discovered manicurists and pedi

there were protests today outside the hhs building in d.c. people protesting she should be allowed to have an abortion if she wants one. >> this young woman has a right to do it. she's in the united states. right. but watch this space on this one. obviously, there's the critical matter of what's going to happen to this one teenager. but this may also be, this case may also be the best public window that we've bought the into what may be happening much more quietly, with what may well be dozens of teenage girls in the same circumstances. again, from court filing, we know, as of march, hhs believed there were nearly 40 teenage girls who were pregnant who were under the supervision of this office. at least in the case of this girl, about whom this case is being fought, her doctor visits really are being blocked by an anti-abortion activist who somehow got this job that gave him the personal individual control over women's lives and bodies that he previously could have only dreamed about as an anti-abortion activist. the official in question here

depending on what happens with further appeals in this case, depending on what hhs chooses to do here about this girl, it looks like the anti-abortion activist who trump appointed to run the office of refugee resettlement, looks like he may succeed by forcing this girl to give birth by blocking her ability to see a doctor to end the pregnancy until it is too late for her to do so. there were protests today outside the hhs building in d.c., people protesting on behalf of this young woman, that she should be allowed to have an abortion if she wants one. this woman does have the right to do it. she's in the united states, right? but watch the space on this one. obviously, there's the critical matter of what's going to happen to this one teenager, but this case may also be the best public window that we've got into what might be happening much more quietly with what may very well be dozens of teenage girls who are in the same circumstances. as of march, hhs believed there were nearly 40 teenage girls who were pregnant who were under the supervision of this office. and at least in the case

. >> let me ask you about the hhs decision. the aclu has filed a lawsuit or announced its intention to and this was their response. the trouble administration is forcing women to pay for their bosses religious beliefs. the federal government cannot authorize discrimination against women in the name of religion. your response? >> i do not the it has been a secret that i would never use the aclu to get any of my talking points. the president believes that freedom to practice one's faith is a fundamental right and all of us do. about. what today was our government should always protect that right and as long as donald trump's president, he will. >> what would you say to that women out there or to the families out there who now have to pay more out of their pocket coverage that they choose and they desire? >> this is a president who supports the first amendment, supports freedom of religion. i do not understand why that should be an issue. the supreme court has validated this decision certainly many times over. the president is som

and despite the didifficulties, despite e the hh environment, we had to do it. man: you start finally seeing data. so you start hearing hearing whales, you start-- you suddenly have e eyes underwater.. narrator: a 20-year journey is nearing its end. but for the comprehensive nuclear test ban treaty organization, which monitorsrs r entire planet for nuclear tests, the work is far from over. to c cplete its cacapability to hear n nuclear explosisions in t world's oceans, ctbto must t fit install a h hydro-acocoustic motoring statition in one ofof e most remote places o on earth-- the ocean floor halfway between africa and antarctica. when completed, hydro-acoustic station number 4 at the crozet islands will jojoin the c ctbto internationnal monitoring system to decect and alert the woworld of n nuclear testing. jerry stanley: installing a hydro-acoustic station is a complex social engineering task. the hydro-acoustic system we're ininstalling at crozet is ononef 6 hydroro-acoustic stations. but these hydro-acoustic stations s are part of the international monitori

and despite the didifficulties, despite e the hh environment, we had to do it. man: you start finally seeing data. so you start hearing hearing whales, you start-- you suddenly have e eyes underwater.. narrator: a 20-year journey is nearing its end. but for the comprehensive nuclear test ban treaty organization, which monitotors r entire planet for nuclear tests, the work is far from over. totoomplete its s capability too hearar nuclear explolosions inhe world's oceans, ctbto musust fit install a a hydro-a-acoustic nitoring statation in one e of e most remote placeses on earth-- the ocean floor halfway between africa and antarctica. when completed, hydro-acoustic station number 4 at the crozet islands will l join thehe ctbto internatioional monitoring system toetetect and alert the e world ofof nuclear testing. jerry stanley: installing a hydro-acoustic station is a complex social engineering task. the hydro-acoustic system we're installing at crozet is s one of 6 hydydro-acoustic stations. but these hydro-acoustic stationons are part of thee international monit

using a comprehensive approach as outlined in the hhs priorities u we will work together to stop this epidemic. cdc has been on the frontlines since the beginning. over a decade ago after hearing alarming news about increases in over dose deaths and after an outbreak investigation, cdc scientists made the connection to prescription opioids. we're working closely in providing guidance so states can rapidly adapt and we can use what we learn, what works best in this evolving epidemic. cdc now funds 45 states in washington d.c. to advance prevention in key areas that community level, including prescription drug monitoring programs, improving prescribing practices. in georgia where i've worked in the er, these investments help make it easier to check the prescription history of my patients. and to alert of high doses which resulted in a 25% reduction of opioid prescribing to youth. these investments can literally save lives. cdc is also leading improvements to the public health data we all rely on to understand the crisis. we are now releasing preliminary over dose data and improved repor

the secretary, acting secretary of hhs within she visited said that things are not good. and so the bottom line is, that we need more help, we need marco rubio is right we need control and command, that means many more military troops. let me give you an example. in haiti, there were 22,000 troops after two weeks here. right now there are 10,000. those are very, very recent. so this has not been a good response. it needs the president to stop calling names, stop downgrading the motives of people who are calling for help but roll up his sleeves and get to work. by the way, he should have gone to puerto rico earlier than two weeks, we'll be tuesday, that's good. but two weeks after it hit he was in texas twice after that, afterwards, they say logistics get in the way. but the president going makes a huge difference and logistics didn't get in the way in the past. >> dickerson: that puerto rico is different case than florida or texas but let's move on here to tax reform quickly you've been talking to the president about making deals with the presidents this something you can

>> well, because tom price is donald trump's hhs secretary and trump promised to drain the swamp and in some sense this is part of the swamp. the question is whether trump threw him over the side too quickly because trump puts distance between any member of government and him that causes him any problem and do remember even the past week there's been story that trump is now trying to push attorney general jeff sessions out, he's still angry at him for not recusing over the russian probe, so there's a kind of tense relationship between donald trump and his own cabinet. paul: yeah, look, i don't think he should have made himself a target by taking these trips, on the other hand, i'm told that he had council from inside hhs, people telling him, look, this is okay, you know, and what do you think? >> yeah, doing anything in government including dialing up a private jet, they are going to be a lot of people involved, probably ethics opinions, probably a lot of paperwork and this is -- this is a common practice. a lot of people might wish if they were going to make an example of someone, i

so hhs would say we are going to rob peter to pay paul, taking from one area and putting it in another. and also for them to set up priorities what are they going to do with those dollars. what do they think is going to work? what's going to make a dent? that's part of this as well. i mean right now it's been a fragmented approach. you have many people sighting different solutions out there. one thing a thing like this does is certainly makes it a priority for all these agencies to work to the. i should point out as well, brooke, you and i have been talking about this for a long time. and many people have known for years it's a big problem. but many people waking up today saying i had no idea how big a problem this is. president is talking about this. this may be the first time for some people realizing the scope of this problem, that drug overdoses are the number one cause of unintentional death in america today. it's incredible. and all the advancements we make in medicine, all the things we do to prolong lives, something like this which is totally manufactured problem can erase all

if he's been hhs secretary. president trump was not happy, curious. >> i felt very bad night because price is a good man but we are looking into it and we are looking into it very strongly. >> chris: price is not alone. epa administrator scott pruitt, steven mnuchin, ryan zinke and secretary david shelton have all flown on private government plans at taxpayer expense. chuck, how big a deal is this and how about the fact as republicans point out that various democrats when they were in positions of power to the same thing? >> how big a deal as it? i think if we didn't have this big story about puerto rico and the nfl and all the other things that this would have been an even bigger story because it does go right to that perception of the trump administration, to some extent created by the president himself and his heavy expenditures on secret service protection and travel back and forth to new jersey, they are a little loose with the taxpayers dime when it comes to their own personal comfort. i think it's very si

. >> >> christi was also working with health reform at hhs and a soviet who had worked at hhs as well so is there something we could do to approach this issue in the incremental way that would lead to the bipartisan support for legislation that is required to get legislation passed. by the way men and these were ever passed on a policy basis. most of the bills i was associated with in congress was not passed on a partisan basis whether the expansion of medicaid or the drug back toward dealing with medicare or any of the other laws. they were bipartisan the truth of the matter is we do better when bills are bipartisan. i felt well informed when i introduced a bill that when you hear those comments that critique you learn more about your legislation to make a much better product. wish some of those laws we're having difficulty dealing with right now especially the affordable care act were bipartisan. that is the only lot i ever had a role to draft that was only partisan but that was based on a political decision that republicans did not want to participate or be a part of it so they wer

the office of refugee resettlement is part of hhs. and that's the office that runs their refugee shelter in texas where the young woman you heard about recently is being held. they call her jane doe in the case. the office of refugee resettlement is run by e. scott lloyd. he was appointed. he's a long time antiabortion and anti-contraception activist. and he was a strange choice to pick to run the office of refugee resettlement since he has zero experience with refugee resettlement. he also does not have a background in medicine or counseling, but we now know at your extension, he apparently flew himself to texas from washington d.c. so he could personally intervene with a pregnant undocumented teenager in a shelter run by the federal government to try to pressure her into not having an abortion. he was questioned about that use of his time and taxpayer resources at a hearing in the house today. >> mr. lloyd, do you have medical do you have medical training of any kind? >> if i need advice regarding any medical situation, i consult th

who also worked on health reform at hhs, and sofia who had worked at hhs as well, we tried to figure out is there something we could do to approach this issue. there is no one answer, but in an incremental way, that would lead to bipartisan support that would lead to legislation that would require to get legislation passed. most of the bills that i was associated with in my decades in congress were not passed on bipartisan basis. whether it was the drug act or expansion of medicaid, or dealing with medicare or any of the other laws. it was very bipartisan. the truth of the matter is, we do better when bills are bipartisan. i always thought i was well-informed when i introduced a bill, but when you hear the comments of those who are critiquing it, you learn more about your legislation and often make a much better product. i wish some of the laws that we are having such difficulty dealing with right now, especially the affordable care act, had been bipartisan. it's the only law i ever had a role in drafting that was only partisan, but it was based on a political decision that republica

>> i'm not aware, refer to you hhs for specific funds. reporter: quick follow-up. president tweeted the highest tax nation in the world. that's not true. why does he keep making that statement? why does he stick to the talking point? >> i believe there are certain sectors within the country that are among the highest tax in the world and we'll be happy to provide that data. john? reporter: thank you, sarah. i have two questions. first, there has been rumors that prime minister tsipras of greece will come here on the 17th and meet with the president and the vice president on the 18th and no confirmation. is the prime minister invited and coming to meet the president and vice president? >> he is, and i believe that date is correct. the 17th, i believe, that he'll be here on that date. >> the other thing, the administration has had a vacancy without a permanent secretary of homeland security for two months which is a record nar position, not operating with a permanent secretary. are we going to have an announcement on a choice for secretary within days, rumors are con

by the official hhs count they tell us there were 38 pregnant girls being held by the office of refugee resettlement as of march. seven months ago. we don't how many girls on the list currently. we don't know how many of the original 38 may have been forced by the federal government to keep pregnancies they did not want. joining us is bridget amary from the aclu, represented jane doe in the case. thank you for your time. >> thank you for having me. >> first let me ask you, if it is -- in our coverage of this case, we have focused on the office of refugee resettlement because it feels like they have taken a new personally motivated cr crusade and an issue. is that accurate? your understanding? >> that's accurate. starting in march 2017 when scott lloyd took office he made it his personal mission to obstruct, interfere with access to abortion for unaccompanied immigrant minors based on his background, nothing to do with the rule of law or the best interest of minors. >> is it clear that this woman in this situation, 16, 17-year-old girl finds out she's pregnant in custody, is it legally r

and gao, to gather the department of state and hhs plan to bring 45,000 refugees to the united states t fiscal year 2018. the security and welfare of the american people is this administration's top priority to institute additional procedures with that adjudication to strengthen the system and continue to find ways to protect the american people we are committed to detect fraud and we will continue security measures with threats to the national security fyi 2018 to settle than any other country we will continue to the most vulnerable that have been persecuted because of race or religion or nationality or a social group or political opinion since 1925 more than 3.4 million refugees through the assistance program the united states demonstrates the most full the role of the world's refugees row keeping americans say from our reporting to deny this statesss commission there a 65.six people better displaced in the world and those that are refugees. so to focus on those three durable solutions repatriation and resettlement to a third country united states recognizes that most look for volun

first following up on the hhs change. does the white house have any estimates of how many people could lose access to birth control under this change? >> i'm not aware. i'd refer you to hhs for specifi specifics. >> the president repeated earlier today that the u.s. is the highest tax nation in the world. it's not true. so why does he keep making that statement? why does he stick to that talking point? >> there are specific sectors in the country that are among the highest taxed in the world and we'll be happy to provide that data. john? >> i have two questions, sarah. there's rumors that prime minister sabris will come here on the 17th, meet with the president and then meet with the vice president on the 18th. we've had no confirmation. is the prime minister invited and is he coming to meet the president and vice president? >> he is. i believe that date is correct. the 17th, i believe, that he will be here. >> the other thing, the administration has had a vacancy without a permanent secretary of homeland security for two

we know what happened when that widening probe happened at the hh -- department of hhs with tom price. it didn't turn out too well for him but we'll wait and see what happens. everything could be status quo, which is not the greatest for scott pruitt, given the fact the optics are not great for this cabinet. the fact they are expanding is note worthing and spoken by our colleagues. >> great report by them. thank you so much for breaking it down for us. i want to get to breaking news into las vegas information. sources are telling cnn that the gunman rigged his car with 90 pounds of explosives meant for either target practice or explode when fired upon. we're getting word about cruises, a number of cruises that he look. stand by for that. sked these co: how much money do you think you'll need in retirement? then we found out how many years that money would last them. how long do you think we'll keep -- oooooohhh! you stopped! you're gonna leave me back here at year 9? how did this happen? it turned out, a lot of people fell short, of even the average length of retirement. we have to th

i'd refer you to hhs for specifics. >> just a quick follow-up. the president repeated earlier today that the u.s. is the highest taxed nation in the world. that's not true. so why does he keep making that statement? why does he stick to that talking point? >> i believe there are specific sectors within the country that are among the highest taxed in the world, and we'll be happy to provide that data to you. john. >> thank you, sarah. i have two questions. first, there has been rumors that prime minister tsipras of greece will come here on the 17th, meet with the president, and then meet with the vice president on the 18th. and we've had no confirmation. is the prime minister invited, and is he coming to meet the president and vice president? >> he is, and i believe that date is correct. the 17th, i believe that he'll be here on that date. >> the other thing is that the administration has had a vacancy without a permanent secretary of homeland security for two months, which is a record for that position not operating with a permanent secretary. ar

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