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This is the testimony of Assessing the New Federalism Director Alan Weil before a House Budget Committee hearing on Department of Health and Human Services (HHS) budget priorities for fiscal year 2005. Mr. Weil focuses on how the HHS budget will affect Americans' health insurance coverage, finding that the few proposals it makes in this area offer benefits to the healthy and wealthy at the expense of the sick and the poor, threaten to undermine the base of employer-sponsored health insurance that covers the majority of Americans, and endanger public coverage through Medicaid.