Al Franken actually said...

I believe this bill is a step toward making the process more efficient.

The Affordable Care Act applied the Value Index to Physicians and Clinics only, but not hospitals.

My State of Minnesota has been a national leader in providing high quality, low-cost care, yet receives extremely low Medicare reimbursement...

This isn't about pitting Minnesota against Texas, but it is about incentivizing States to do the right things.