I know the exploding cost of health care is at the root of our long-term fiscal challenges.

Prior to passage of Obamacare, Americans spoke out against the individual mandate they didn't want to change the health care they had they didn't want a 3,000-page bill that empowered 15 Washington bureaucrats to decide the future of the doctor-patient relationship.

Americans want and deserve a broad array of health insurance choices so they can identify those that best fit their own individual or family needs. These choices expand when we allow free enterprise to foster innovation, not smother it with taxes and one-size fits all ideology.

Under President Obama's new health care law, Medicaid will become a very different health coverage program than first envisioned.

Originally created to serve the poorest and sickest among us, the Medicaid program has grown dramatically but still doesn't include the kind of flexibility that states need to provide better health care for the poor and disadvantaged.