Senator Ted Cruz speaks during a news conference at the Capitol in Austin, Texas, on Monday, April 1, 2013. Cruz, along with other Republican officials, announced that they believe that Medicaid is a broken system, and that expanding it under the Affordable Care Act is the wrong move for Texas. Shown, from left, are Governor Rick Perry, US Senator John Cornyn and Lt. Gov. David Dewhurst. (AP Photo/Austin American-Statesman, Deborah Cannon)