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1 (2013)

handle is hein.cbhear/fdsysaacu0001 and id is 1 raw text is: AUT-ENTICATED U.S. GOVERNMENT INFORMATION GP DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATIONS FOR FISCAL YEAR 2014 WEDNESDAY, APRIL 24, 2013 U.S. SENATE, SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS, Washington, DC. The subcommittee met at 10:05 a.m., in room SD-138, Dirksen Senate Office Building, Hon. Tom Harkin (chairman) presiding. Present: Senators Harkin, Pryor, Shaheen, Merkley, Moran, Cochran, Alexander, Johanns, and Boozman. DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF THE SECRETARY STATEMENT OF HON. KATHLEEN SEBELIUS, SECRETARY OPENING STATEMENT OF SENATOR TOM HARKIN Senator HARKIN. The Subcommittee on Labor, Health and Human Services, and Education will please come to order. Madam Secretary, welcome back to the subcommittee. I want to start by commending you for the outstanding work you're doing to implement the Affordable Care Act (ACA) since President Obama signed it into law 3 years ago. Since 2010, some 6.3 million seniors have received more than $6.1 billion in discounts on their prescription drugs. Last year, al- most 40,000 seniors in my State of Iowa saved an average of $650 each. More than 3.1 million young adults are staying on their parents' insurance from graduation to age 26. But most important of all, 105 million Americans have received a free preventative screening or service because of the Affordable Care Act. Your Department is carrying out these reforms with great skill, and I thank you for your leadership. More work remains, of course. The President's budget request for fiscal year 2014 includes additional funding at the Centers for Medicare and Medicaid Services (CMS) for operating the market- places that will allow consumers and small businesses to compare private health plans. As chairman of both this subcommittee and the Health, Edu- cation, Labor, and Pensions (HELP) Committee, the authorizing (1)

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