tv Surgeon General Jerome Adams Testifies on Substance Abuse CSPAN October 24, 2019 10:40am-10:51am EDT
abuse. the u.s. surgeon general is among those testifying. live coverage here on c-span2. >> what percent involve the case where a patient was the perpetrator of such broad? >> thank you for the question. we are different than the ig. we don't do the investigation of the case. that would be a better question perhaps for others. however, we did look at, took a sample selection if i that we found all five states had reported fraud and then we went in and spoke with various actors involved in that including the medicaid fraud unit. and to our knowledge, again we don't go into the case but, for example, in florida they unknowingly brokered and sent to other places without their knowledge. >> i want to ask you and you can respond to that, too. based on your work, is it your opinion individuals with a
substance use disorder diagnosis seeking treatment are generally the culprits in these cases of fraud, or more likely the victims? >> in the cases we see they are the victims. >> overwhelmingly? >> overwhelmingly. we have certainly in our fraud schemes we have some participating patients who are often come maybe their patient but also a patient broker with trying to solicit other individuals to commit to a fraud scheme but generally speaking they are the victims of these crimes. >> to you both, the two of you both believe states are doing a good job with addressing fraud when you say the maintain the tools they have at the forefront, , that that in the hands the tools and authorities necessary to police this kind of fraudulent behavior committed much less often by the victim than the perpetrator? >> certainly on the health care fraud space we have the medicaid fraud control unit there very active in the space. our office is very active where
i think there had been may be a need for additional oversight not in law enforcement space but the oversight of these treatment facilities and quality standards as we discussed here today to ensure that are called the treatment centers for receiving federal funding and delivering the product and the treatment we all expect. >> did you want to add -- >> we also found in our states that florida, massachusetts and utah had all started certification or licensure programs. in texas and ohio wildly didn't have those programs, , that the writing training and other services to the operators of homes. they were very concerned and wanted to take over that. >> incipit this question i'll start with the dr. beecher just answer if you would. i preface this, there are i think everyone of us on this committee, both parties think we are not doing enough with prevention, education, upscaling treatment, all of that.
i applaud dr. cassidy for his interest and enough senator markey and others on the pretrial incarcerated to keep them on medicaid. it's just upside down thinking, think you take away their medicaid when they mostly needed at that point. we are clearly not doing enough to provide the care treatment options to everyone who needs them but while the overall, we know the overall number of not only adults with substance abuse disorder who receive treatment is low. we know those with medicaid are significantly more likely to receive treatment than those with private coverage here for instance, thousands of ohioans are receiving addiction treatment now because of medicaid. i was at a substance abuse clinic in cincinnati, and in and put his hand on his adult daughters are and just reset my daughter would not be like if it
were not for medicaid. we know those stories and the statistics. my question for each of you is, answer as close as you can to yes or no. putting additional burdens on beneficiaries make it harder for them to access and maintain coverage, that could copper mice efforts to address the addiction treatment and limit access to substance use disorder, are those additional burdens helpful or are they not? >> are you talking about medicaid? >> yes. >> i would say we want to make medicaid effective and is easy to access as we possibly can and you frame it as a burden. i don't know which particular provision you are referring to but i do believe we should make medicaid more available and we tried to give states the flexibility through a through d number of 1115 waivers to craft their medicaid programs in a iy to work for their citizens and constituents. >> we currently have worked look
at beneficiaries of medicaid and access to mitigate assistant treatment for example,. >> okay. mr. cantrell? >> we have work that looks in the medicaid eligibility but i don't have come under the expert in that so we would have to get back to what the work entails. >> i would completely agree with what the comets early, the surgeon general specifically. any barriers for those who don't have insurance to get medicaid, absolutely create a lot more loss of life and cost to our system. people going to er rooms, prisons, et cetera, et cetera we need to keep as few bears as possible so more people can be on medicaid that needed that are qualified for medicaid without the berries can absolute be 100%. >> thank you. i appreciate responsible for the. i would just close with this. that imposition of work requirements and state medicaid programs will have a chilling
effect on access to treatment. this hearing underscores the absolute ludicrousness, if that's a word, at the hardiness of far too many people into spot in the trump administration who are trying to repeal the affordable care act. they couldn't do it here. they tried very hard. they couldn't do it here. they want to do it through the courts, and it's hardhearted. it's stupid and it will mean a lot more people die with this assault on the affordable care act. my state 900,000 people have insurance that didn't have before the affordable care act if we know what it means to young people when the parents planted we know what it means for the expansion. we have republican governor ohio who should more courage than most of his party members around the country. expanded medicaid. saved thousands of lives and it's just absolutely cruel and stupid policy to think repealing
the affordable care act apostle be good for our country. so thank you. >> senator cassidy, can i make one quick comment? i would just very quickly say that iran the state department of health in indiana when we expanded coverage to several hundred thousand citizens as surgeon general of what your -- i was able to reset access to quality affordable health care is critically important. this administration believes we should give states the flexibility and the opportunity to do it the way that works best for them as occurred in indiana. again, the record number of 1115 waivers show the commitment to the flexibility in giving states that flexibility. in my opening statement i talked about both belt and industry and about -- in indiana and in new york, and i think it's important that we talk about work we understand that one of the biggest predictors of whether
someone will be successful in long-term recovery is whether or not they can get back to work. i would be the first to admit that the idea of work requirement is a hot button political topic but i don't want us to lose the strong dated the says we need to think about ways we can help people reintegrate back into society and get a job. that's when focus on a surgeon general is how can we lower the barriers to people getting back to work and hathaway bring people together so folks controlled recover? thank you so much for the opportunity to testify today. this is a critically important hearing, and also want to give you a shout out, senator brown, for the work you're doing and. you all the been able to drag down your overdose rates in the state by over 10%. it's because of the partnership -- >> it in large part because we expanded medicaid and the president of the united states wants to take it away. i appreciate who appointed you. -- i don't know political
philosophy, doesn't matter. preshift comments on work come on work requirements but the fact is when the president of the united states once to wipe off the books the affordable care act with no replacement on medicaid and the banquet given down, not very far yet, but driven down the death rate in ohio and addiction rate in ohio is because we have very, very, very important public health tool. >> that will be the final rule. the chair will thank you all for your testimony. relieve the record open for two weeks for submissions of question for the record. the hearing is now adjourned. thank you. [inaudible conversations] [inaudible conversations]
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