I cannot believe that we are forcing every State in the Nation to try to write their own program.

I have another 100 questions that my State needs answered, and we need them answered quicker than 6 months.

I cannot thank you enough, Mr. Chairman, for holding this hearing.

So, without those CO-OPs, there is not much opportunity to expand the amount of competition then.

It does look to me as though you are trying to force everyone into a Federal exchange.

The post offices are absolutely essential in our rural areas.

It appears to me that most of the sequester was eliminated, and that is the first real cuts that we have made.

I think the sequester could have been done a lot more diplomatically and a lot more beneficially.

The gross debt increases $17.2 trillion to $25.4 trillion. That does not sound like a lot of belt tightening to me.

I want to ensure that we all do not leave this hearing thinking that there is a direct link between increased revenues through tax hikes and increased economic growth.

I appreciate the emphasis on auto enrollment versus perhaps a mandate.

Well, I am hoping both stay in effect as possibilities.

I really appreciate the portability.

I also have a bill that would allow pooling of small businesses so they can have one administrator for a number of them.

The issue of improving access to primary care services, and aligning our health care workforce, is one that is important to all of us, but one that is especially significant given the obstacles that people face in Wyoming.

What needs to be done to ensure that effective oversight and financial controls are in place to ensure that Federal funding is being used effectively?

What needs to be done to enhance and improve the coordination and collaboration between the Federal Government and the State government agencies to most effectively deploy the resources?

What needs to be done at the Federal level to improve that grant process, and what can we do to make the process better?

We greatly appreciate the recent subcommittee hearing, '30 Million New Patients and 11 Months to Go: Who Will Provide Their Primary Care?'

Thank you, Mr. Chairman. Thank you for holding this hearing, and I am glad to be joining you for my first hearing as Ranking Member of this subcommittee, and I look forward to working with you.

one provider per 3,500 people in an urban setting is entirely different than 3,500 people living in a county that is almost 10,500 miles of land mass.

There are serious access challenges in Wyoming that require creative solutions to resolve.

We must do a better job with prevention.

Thank you, Mr. Chairman, and I want to congratulate Senator Alexander, who gave up a leadership position on our side in order to be the Ranking Member on this committee.

The single biggest thing we could do in the short term is to make sure that basic mental health care is a core element of primary care.