the preterm birthrates in african-american communities are nearly 48% higher and an american-indian, alaska-native populations for women, it's about 15% higher than whites. so we really have to do -- we've done a great job so far, but we really have to start implementing more interventions across the country and across california so every baby has a fair chance of surviving. >> erica, i'm looking at some numbers that say that you want to get to 8.1% by 2020 of the preterm birthrate, and 5.5% by 2030. that's a very ambitious goal. >> yes, it is, but knowing these road-map interventions and some of the community work, we can get down to 8.1% by 2020, definitely. >> and can you talk a little bit about the road map, please. >> so these are eight emerging interventions that if you bundle them together or even separately, we're looking at reducing preterm birthrates across all jurisdictions, across all population groups. one of them starts with reducing a nonmedically indicated delivery. so women who aren't induced or given cesarean sections without a medical reason before 39 weeks. also, the increasing

you are aware that, are you aware that black, latino, american indian, alaska native almost twice as likely as white people to be covered under medicaid? do you think it's responsible to propose cutting trillions of dollars of funding without a credible alternative to replace it for those? >> i disagree with the premise. the solution that we have, and sure every single american regardless of their health status, regardless of economic status have the ability, financial feasibility purchase of the kind of coverage that they want. >> i have a few seconds left. we have members here who also have additional questions. i am deeply troubled by a number of responses. we have a lot of families who are very, very, very concerned since this election will happen to them personally. we have outlined some of those and i hope that congressman price will have a significant number of questions, from my colleagues, that joyfully submit them for the record. >> thank you. >> thank you, senator murray. dr. price, i want to thank you for being here. i only have a few comments. i don't have additional que

there was good discussion about making sure they were able to retain the protections for alaska natives we saw under the healthcare organization act that came as part of the aca. recognizing there are certain exemptions as part of the aca exemptions for medicare cost caring, 100% federal match from american indians and alaska natives. and the ihs facility including tribally operating facilities. very extraordinary collaboration that has gone on. and entities with our tribes, tribal health organizations that have allowed for increased sufficiency and increased health access, a great deal of discussion focused on what will happen, what will happen, to those who gained access through medicaid expansion, and what can we do to ensure coverage options are provided for those in this new era of healthcare reforms. a further question to that is should a block grant approach be considered? what efforts would be made to ensure that this unique trust responsibility for american indians are continued to be fulfilled, these were concerns raised at this meeting and folks that hope that we can ask you

murray: are you aware that black, latino, american india, alaska natives are twice as likely as white people to be covered under medicaid. do you think it is responsible to propose cutting trillions of dollars in funding without a credible alternative to replace it for them? with thee: i disagree premise. the solution we have is to ensure every american, regardless of their health and economic status, have the ability to purchase the kind of coverage that they want. sen. murray: i have a few seconds left. we have members here who also have additional questions. i am deeply troubled by a number of responses. we have a lot of families who are very, very, very concerned since the election of what will happen to them personally. we have outlined some of those. , hope that congressman price as we will have a significant number of questions from my colleagues, you willfully submit them for the record. rep. price: thank you. dr. price, i want to thank you for being here. i only have a few comments, i do not have additional questions. i was reflecting back on sylvia's parents -- appearance an

the alaska native and former iraqi war veteran has been facing multiple charges including killing five people inside fort lauderdale international airport on januare flew from alaska to florida, checked one bag, inside that bag was a handgun as well as ammunition, upon arrival he went to the men's room, started loading that's gone, came out, firing. he did not say a word, but he fired 15 shots, reloaded his clip, many of those killed were senior citizens on vacationo go on cruise ships, so far they have not ruled out any links to terrorism, santiago has visited g how do you chat sites on the internets. back to you. >> jon: what a story, in fort lauderdale. >> jenna: renewing the battle with the mainstream media, kellyanne conway taking on what she is calling the biased coverage over the weekend on "fox news sunday," we will have more from the media panel coming up. >> jon: the counselor to the president, kellyanne conway sounding off the mainstream media during her sit down with chris wallace on "fox news sunday," she suggests that some media members should be fired for their biased co

her books charter her unique experiences of growing up in juneau as a tlingit at a time when alaska natives were denied basic rights, and no natives signs were common on storefronts. her career as a writer and a teacher began in her 50's. living the principle that learning should be a lifetime passion, she graduated from the university of alaska southeast magna cum laude, i might add, when she was 55 years old. in between, she moved to california where she struggled to find purpose and, as she put it, she was determined to go back home to alaska or die facing north. thankfully for us, she made it back home. in the tao of raven she weaves in the story of raven and the box of light. professor hayes writes about the importance of giving back to the community. although raven could well have decided to keep light, luster and blind brilliance for only his own pleasure, she writes, he knew that to keep rishes to one's self guarantees' one's decline. i want to congratulate professor hayes for being chosen as our state's writer laureate in our first inaugural alaskan of the week. and thank you, prof

native claims settlement act with promises made to our natives and native people, promises made to the native veterans serving in vietnam who were not able to receive their native allotment. these are commitments that have been made to the state that have not yet been fulfilled and part of my real mission here in the senate since i came was to make sure that these promises have been kept. can you get some assurance to the people of alaska that when we are talking about these issues, these promises and commitments made to our state, to our native people, to our vietnam veterans that you will work with us to fulfill those promises? >> absolutely and transfer or sale of public land is different from treaty allegations. i am very familiar with thanks to your staff, about the vietnam issue. they were serving their country and therefore did not have the opportunity and that's a treaty obligation and a commitment and a promise, so i will work with you and i look forward to working with you on this particular issue. >> and you understand that the effort, if you will, to address the potential f

native enroll e lees when they receive their care through an ihs facility, including the tribal prauting facilities. we have seen extraordinary collaboration that's going on between our ent ities with our tribal health organizations that have allowed for increased efficiency, improved health access and so a great deal of the discussion was focused on what will happen to those who have gained access through med kaud expansion and what can we do to ensure that coverage options are provided for those in this new era of health care reform. then b a further question to that is should a block grant approach be considered. what efforts, then, would be made to ensure that this very unique trust responsibility for american indians and alaskan natives are continued to be fulfilled. these were concerns raised in this meeting and folks would hope i'd have a chance to ask. >> i appreciate it. we had a wonderful discussion about alaska and learned much about your state. medicaid system is one that absolutely imperative and vital for members of our polllation who receive their care through the medicaid

are you aware that black, latina, american indian, alaska natives are almost twice as likely as white people to be covered under medicaid? do you think it is responsible to proposed cutting trillions of dollars in funding without a credible alternative to replace it for those people? >> i disagree with the premise. the solution we have what ensure every single american, regardless of their health status and economic status, had the ability financial feasibility to purchase the kind of coverage that they want. >> i have a few seconds left to mr. chairman, as you can see, we have members here who also have additional questions. i am deeply troubled by a number of responses. we have a lot of families who are very, very concerned since this election what will happen to them personally. we have outlined some of those, and i hope that congressman price as we will have a significant number of questions from our colleagues that you willfully submit them for the record. >> thank you. >> thank you, senator murray. dr. price, i want to thank you for being here. i only have a few comments. i do n

natives continue to be filled. these concerns were raised at the meeting and nooks hoped i would have -- folks hoped i would have an opportunity to ask you. rep. price: we had a wonderful conversation about alaska and i learned much about your state. the medicaid system is imperative and vital for members of the population who receive care through the medicaid --gram and it is a federal and sure individuals did not fall through the crack. whether it is the same level of medicaid which is a patient or providing an option for something else that allows them needs,e that suits their we are committed and adamant that that coverage be able to be continued. they have our assurance that we will work with you to make sure that happens. what about the --sen. murkoski: what about the concerns by the tribal health organization that if there is a blocked approach that is utilized that that could impact some of the assurances and benefits that the tribal health organizations have seen? early --rep. the price: this is in the ear

it has the practice of an opportunity and offered nothing in return, not even to alaska native villages that are threatened because of climate change. this reaches out to king cloak where the current secretary rejected a short, one line, gravel, noncommercial use road needed to protect the house and safety of nearly 1000 alaskans. without that road, we have seen 55 medevac's over the past three recentlyne, including an elderly woman who had a hip fracture -- she was forced to wait more than 40 hours for help to arrive. and while alaska may be the the reality is that our state is not alone in having suffered at the hands of the interior department. with little regard for local concern and opposition, the president has designated more land and water as national managements than the previous 18 presidents combined. , a terme level planning that sounds reasonable, is another example of a strategy that has been used to reduce the influence of local areas so that someone sitting here in washington, d.c., can tell someone living in 40 mile alaska, or blanding, utah, what their life is going to

it's deprived us an opportunity but offered nothing in return, not even alaska native villages that are threatened because of climate change. this reaches out to kinko's where current secretary rejected a short noncommercial needed to protect the health and safety of nearly a thousand alaskans. without that road, we've seen 55 med fax over the past three years alone, including recently an elderly woman who had a hip fracture. she was forced to wait more than 40 hours for help to arrive. i'll alaska may be the poster child, the reality is not alone in having suffered at the hands of the interior department. with little regard for a local opposition and the president has designated more land and water in the previous 18 presidents combined. landscape level planning, a term that sounds reasonable as another example of a strategy that has been used to reduce the influence of local area, so someone sitting here in washington d.c. can tell someone that they know 40-mile alaska or utah what their life is going to look like. of course, congressman zinke, this is the interior department you're w

it's deprived us of an opportunity but offered nothing in return not even to alaska native villages threatened because of climate change. this reaches all the way out to king cove where our current secretary rejected a short one lane gravel non-commercial use road needed to protect the health and safety of nearly 1,000 alaskans. without that road we've seen 55 medevacs over the past three years alone, including recently an elderly woman who had a hip fracture. she was forced to wait for more than 40 hours for help to arrive. while alaska may be the poster child, the reality is that our state is not alone in having suffered at the hands of the interior department. with little regard for local concern and opposition, the president has designated more land and water as national monuments than the previous 18 presidents come bind. landscape level planning, a term that sounds pretty reasonable is another example of a strategy that has been used to reduce the influence of local areas so someone sitting here in washington, d.c. can tell someone living in 40 mile alaska or blanding, utah, what their l

there was also good discussion about making sure we are able to retain the protections for alaska natives that we saw under the indian health care reorganization act that came as part of the aca. so recognizing that there are certain exemptions that were included as part of the

there was also good discussion about making sure we are able to retain the protections for alaska natives that we saw under the indian health care reorganization act that came as part of the aca. so recognizing that there are certain exemptions that were included as part of the aca, exemptions for medicaid cost sharing provisions, 100% federal match for american indians and alaska native medicaid enrollees when they receive their care through an ihs facility including the tribally operating facilities, again, we have seen some i think very extraordinary collaboration that has gone on between our entities with our tribal health organizations that have allowed for increased efficiency, improved health access, so a great deal of the discussion was focused on what will happen, what will happen to those who have gained access through medicaid expansion and what can we do to ensure that coverage options are provided for those in this new era of health care reform, and then a further question to that is should a block grant approach be considered? what efforts then would be made to ensure that t