We need to demand results and focus the scarce resources that taxpayers entrust us with on what works.

Success in doing so will help us as we work to curb our debt.

That level of debt was not sustainable then, and we all know that it is not sustainable today.

We clearly need to identify ways to improve our return on investment here.

The National Medicaid data are not current, they are not complete, and they are not accurate.

When I was Governor of our State and involved in the National Governors Association (NGA), we always used to say States are laboratories of democracy, let us use them in that capacity.

Say that again. The partnership with the States----

Leon Panetta has assured us that they will be auditable prior to their deadline of 2017, so that is good.

Medicaid continues to be on GAO's list of Government programs at a high risk for waste, fraud, and abuse.

OK. Good things.

That is a good point.

I think the idea for providing the 1-year extension that you just alluded to actually came out of a hearing right here where Ms. Yocom is sitting.

If you go back, the Deficit Reduction Act passed in 2005, 2006 to 2008 to get the audit started, 2008 to 2010 to see there was a problem, and from 2010 to now to redesign the program. So we are 6 years out, and we really have not…

That is an important step forward, and we applaud that.

I often say there is no silver bullet for fighting waste and fraud, but this bipartisan bill provides--I think we have over 35 cosponsors.

A decision not to intervene is a decision. A decision not to pick winners and losers is a decision to pick a loser.

we understand that most of the health care bill in this country goes for chronic disease, well over half of it

we have actually proposed for the first time financial rewards for senior citizens under Medicare to lower their blood pressure or their cholesterol