We've taken numerous steps, from working with the states to identify people who are on both Medicaid and Medicare, to making sure that they will continue to get all of the drugs they need beginning on January 1.

People have been getting their drugs, and since the beginning of the program, millions of prescriptions are being filled.

All the protections are truly in place for this group of people.

We needed to get the letters out now, so people know they will either need to take action come Nov. 15 or not take any action and be automatically enrolled in a plan.

The people who don't take any action at all could actually find themselves just covered by Medicare or Medicaid ... so it's real important that they look at the information they received in the mail.

We're getting people into the right plans and the right computer systems as fast as we can.

You have to remember that Congress created the Part D program to begin January 1, 2006. So we put all the contingencies in place to handle as much as we did.

We did experience a surge in enrollment. You've got to realize that there are millions of people that have been getting their drugs. In some cases, beneficiaries who enrolled in very late December could be experiencing minor delays if they go to the pharmacy this week.

It's also illegal for Americans to buy drugs from Canada.