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Fiscal Year 2017 Budget Request Hearing Committee

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Fiscal Year 2017 Budget Request Hearing Committee THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) FISCAL YEAR 2017 BUDGET REQUEST HEARING BEFORE THE COMMITTEE ON WAYS AND MEANS U.S. HOUSE OF REPRESENTATIVES ONE HUNDRED FOURTEENTH CONGRESS SECOND SESSION FEBRUARY 10, 2016 Serial No. 114–FC09 Printed for the use of the Committee on Ways and Means ( U.S. GOVERNMENT PUBLISHING OFFICE 22–185 WASHINGTON : 2017 For sale by the Superintendent of Documents, U.S. Government Publishing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 VerDate Sep 11 2014 13:18 Mar 27, 2017 Jkt 022185 PO 00000 Frm 00001 Fmt 5011 Sfmt 5011 I:\WAYS\OUT\22185.XXX 22185 joloto on DSKB35BYQ1 with HEARING COMMITTEE ON WAYS AND MEANS KEVIN BRADY, Texas, Chairman SAM JOHNSON, Texas SANDER M. LEVIN, Michigan DEVIN NUNES, California CHARLES B. RANGEL, New York PATRICK J. TIBERI, Ohio JIM MCDERMOTT, Washington DAVID G. REICHERT, Washington JOHN LEWIS, Georgia CHARLES W. BOUSTANY, JR., Louisiana RICHARD E. NEAL, Massachusetts PETER J. ROSKAM, Illinois XAVIER BECERRA, California TOM PRICE, Georgia LLOYD DOGGETT, Texas VERN BUCHANAN, Florida MIKE THOMPSON, California ADRIAN SMITH, Nebraska JOHN B. LARSON, Connecticut LYNN JENKINS, Kansas EARL BLUMENAUER, Oregon ERIK PAULSEN, Minnesota RON KIND, Wisconsin KENNY MARCHANT, Texas BILL PASCRELL, JR., New Jersey DIANE BLACK, Tennessee JOSEPH CROWLEY, New York TOM REED, New York DANNY DAVIS, Illinois TODD YOUNG, Indiana LINDA SA´ NCHEZ, California MIKE KELLY, Pennsylvania JIM RENACCI, Ohio PAT MEEHAN, Pennsylvania KRISTI NOEM, South Dakota GEORGE HOLDING, North Carolina JASON SMITH, Missouri ROBERT J. DOLD, Illinois TOM RICE, South Carolina DAVID STEWART, Staff Director JANICE MAYS, Minority Chief Counsel and Staff Director ii VerDate Sep 11 2014 13:18 Mar 27, 2017 Jkt 022185 PO 00000 Frm 00002 Fmt 0486 Sfmt 0486 I:\WAYS\OUT\22185.XXX 22185 joloto on DSKB35BYQ1 with HEARING C O N T E N T S Page Advisory of February 10, 2016 announcing the hearing ...................................... 2 WITNESSES The Honorable Sylvia Burwell, Secretary, United States Department of Health and Human Services ............................................................................... 8 SUBMISSION FOR THE RECORD National Association of Chain Drug Stores, statement ........................................ 142 QUESTIONS FOR THE RECORD The Honorable Sylvia Burwell ................................................................................ 81 iii VerDate Sep 11 2014 13:18 Mar 27, 2017 Jkt 022185 PO 00000 Frm 00003 Fmt 0486 Sfmt 0486 I:\WAYS\OUT\22185.XXX 22185 joloto on DSKB35BYQ1 with HEARING VerDate Sep 11 2014 13:18 Mar 27, 2017 Jkt 022185 PO 00000 Frm 00004 Fmt 0486 Sfmt 0486 I:\WAYS\OUT\22185.XXX 22185 joloto on DSKB35BYQ1 with HEARING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) FISCAL YEAR 2017 BUDGET REQUEST WEDNESDAY, FEBRUARY 16, 2016 U.S. HOUSE OF REPRESENTATIVES, COMMITTEE ON WAYS AND MEANS, Washington, DC. The committee met, pursuant to notice, at 2:00 p.m., in Room 1100, Longworth House Office Building, the Honorable Kevin Brady, [chairman of the committee] presiding. [The advisory announcing the hearing follows:] (1) VerDate Sep 11 2014 13:18 Mar 27, 2017 Jkt 022185 PO 00000 Frm 00005 Fmt 6633 Sfmt 6633 I:\WAYS\OUT\22185.XXX 22185 joloto on DSKB35BYQ1 with HEARING 2 COMMiTTEE ON ' Chairman Brady Announces Hearing on the Department of Health and Human Services' Fiscal Year 2017 Budget Request The Chairman of the House Committee on Ways and Means, Kevin Brady (R-TX), today announced that the Committee will hold a hearing on the Department of Health and Human Services' (HHS) Fiscal Year 2017 Budget Request. TestifYing at the hearing will be HHS Secretary Sylvia Mathews Burwell. The hearing will take place Wednesday, February 10, 2016, in Room llOO of the Longworth House Office Building, beginning at 2:00 P.M. Oral testimony at this hearing will be from HHS Secretary Burwell only. However, any individual or organization may submit a written statement for consideration by the Committee and for inclusion in the printed record of the hearing. Details for Submission of Written Comments: Please Note: Any person(s) and/or organization(s) wishing to submit wrillen comments for the hearing record must follow the appropriate link on the hearing page of the Committee website and complete the informational forms. From the Committee homepage, http://waysandmeans.house.gov, select "Hearings." Select the hearing fo r wh ich you would like to make a submission, and click on the link entitled, "Click here to provide a submission for the record. " Once you have followed the online instructions, submit all requested in formati on. ATTACH your submission as a Word document, in compliance with the formatting requirements listed below, by the close of business on Wednesday, February 24, 2016. For questions, or if you encounter technical problems, please call (202) 225-3625 or (202) 225-2610. Formatting Requirements: The Committee relies on electronic submissions for printing the official hearing record. As always, submissions will be included in the record according to the discretion of the Committee. The Committee will not alter the content of your subm ission, but we reserve the right to format it according to our guidelines. Any submission provided 10 the Committee by a witness, any materi als submitted for the printed record, and any wrinen comments in response to a request for written comments must conform to the guidelines listed below. Any submission not in compliance with these guidelines will not be printed, but will be maintained in the Committee fi les for review and use by the Comm iuee. I. All submissions and supplementary materials must be submitted in a single document via email, provided in Word format and must not exceed a total of I0 pages. Witnesses and submitters are advised that the Committee relies on electronic submi ssions for VerDate Sep 11 2014 13:18 Mar 27, 2017 Jkt 022185 PO 00000 Frm 00006 Fmt 6633 Sfmt 6602 I:\WAYS\OUT\22185.XXX 22185 joloto on DSKB35BYQ1 with HEARING 22185.001 3 printing the official hearing record. 2. All submissions must include a list of all clients, persons and/or organizations on whose behalf the witness appears. The name, company, address, telephone, and fax numbers of each witness must be included in the body of the email. Please exclude any personal identifiable information in the attached submission. 3. Failure to follow the fonnatting requirements may result in the exclusion of a submission. All submissions for the record are final. The Committee seeks to make its facilities accessible to persons with di sabilities. If you are in need of special accommodations, please call 202-225-1721 or 202-226-34 1 I TTDrTTY in advance of the event (four business days notice is requested). Questions with regard to special accommodation needs in general (including availability of Committee materials in alternative formats) may be directed to the Committee as noted above. Note: All Committee advisories and news releases are available at http://www. waysandmeans.house.gov/. f VerDate Sep 11 2014 13:18 Mar 27, 2017 Jkt 022185 PO 00000 Frm 00007 Fmt 6633 Sfmt 6602 I:\WAYS\OUT\22185.XXX 22185 joloto on DSKB35BYQ1 with HEARING 22185.002 4 Chairman BRADY. Thank you for joining us today, Secretary Burwell. We appreciate your time and welcome to the Ways and Means Committee to speak about the President’s fiscal year 2017 budget request for the Department of Health and Human Services. I would like to begin the day by speaking generally about this year’s budget. Even though the President knows that he does not have much time left in office to solve real problems, he has decided to put forward in my view a budget that really is not rooted in re- ality for yet another year’s budget proposed trillions of dollars of new tax increases and more wasteful Washington spending. The President’s efforts to secure his liberal legacy does not come cheap. While the United States likes to break records, the Amer- ican people are not cheering for the most expensive budget in our Nation’s history. The President has chosen to completely ignore the very real fis- cal challenges our country faces in the immediate future. This budget is a missed opportunity, especially for the programs at your department that impact the lives of millions of Americans. For example, last year when you testified at the Energy and Commerce Committee you said the Affordable Care Act was lead- ing to substantial savings for households, businesses, and the Fed- eral Government, but we know that is not the case today. In fact, the nonpartisan Congressional Budget Office recently found the government spending on health care programs would grow from $1.1 trillion this year to $2 trillion in 2026. We also know that many Affordable Care Act recipients are watching their premiums increase by double digits every year. And the Medicare Hospital Insurance Trust Fund that our seniors rely on will be exhausted in 2026, four years earlier than projected. These are serious problems that need real solutions, but these so- lutions are nowhere to be found in this irresponsible and very ex- pensive budget. To add insult to injury, the budget also duplicates programs that already exist at your own agency. One proposal calls for a new pro- gram to provide short-term financial help to those in need, even though that is already the central purpose of the Temporary Assist- ance for Needy Families Program. Another calls for a new Home Visiting Program run by the Ag. Department, despite the current Home Visiting Program run by HHS. Instead of duplicating programs we already have, Washington needs to effectively reform our welfare program and finally help more Americans climb the economic ladder through work, and while we will disagree more than we agree today, I do believe there are some important areas of cooperation.
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