What do jefferson and madison mean when they say, "you don't have the votes..your're gonna need congressional approval and you don't have the votes."

it provided for selection of government employees through competitive examinations. it also made it unlawful to fire or demote covered employees for political reasons or to require them to give political service or payment, and it set up a civil service commission to enforce the law.

explanation:

hr2520 is the patient's act. there is required the secretary of health to summon a committee to develop a national strategic plan of prevention. this committee has forth provisions that make possible for the govern entities to acquire private health insurance services.

is easier to keep this hr2520 as federal, because that way the secretary of health has centralized power to deal with private insurance companies and the federas government has more ways and power to negotiate with them, than doing this process state by state in their specific terms.