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PURPA was enacted by Congress in 1978, and it was designed to increase our energy independence at a time when we were in a real energy crisis.

The Commission's goal is a Medicare program that ensures beneficiary access to high-quality care, pays health care providers and plans fairly by rewarding efficiency and quality, and spends tax dollars responsibly.

The Commission appreciates the opportunity to discuss improving care for Medicare beneficiaries with chronic conditions.

The Commission has been concerned for many years that FFS Medicare does not incentivize or facilitate comprehensive care coordination.

I can assure you that your testimony will be very seriously taken into consideration.

Well, there certainly, I don't think, is any substitute for involving people who know the land and who know the circumstances around it.

We want to be able to collaborate with you to be able to make that happen, rather than having rigid edicts come down.

In today's world with the technology we have it would seem to me that that would not be that difficult to do.

I appreciate your efforts in that regard.

I do not think I need to tell you, but there is a lot of frustration out there that it is not moving as fast as we would like.

I have said this already, but your written testimony as well as your presentations today have been very helpful.

I hear the same thing argued from the other side, folks worried that it may be utilized to force the United States to adopt standards or designations that we did not want to nor need to adopt.

If there is any group that can find bipartisan agreement, it will be us.

The ultimate goal of SIFI designation is to reduce risk, not to simply create a whole new level of regulation.

Well, thank you, Senator Scott, and I can speak for myself that at the level of this Committee and Congress, we are really glad to have someone with expertise in this industry to talk with us and work with us, and we appreciate your…

I believe that FSOC should be clearer about the relative importance of those activities in its overall designation.

Transit is often discussed in the context of large metropolitan areas and in the context of fixed rail service--but it is also important in a relatively rural State like Idaho where bus service is the option in our largest metro area.

We do think that the common assessment instrument and what goes on in the IMPACT Act... will do a lot of good.