“Sen. Bernie Sanders meets in his U.S. Senate office in Washington, D.C., with (L to R) Cynthia Mann, director of Medicaid and State Operations for the U.S. Center for Medicare and Medicaid Services, Commissioner Michael Hartman of the Vermont Department of Mental Health, and Angela Brice-Smith, deputy director of surveys and certification for the Center for Medicare and Medicaid Services. Photo by the U.S. Senate Photo Studio.”