Topeka ? U.S. Sen. Jerry Moran says changes to the nation’s health care system have to focus more than just on reducing costs to provide patient care.

Meeting Monday with officials at Topeka’s St. Francis Health Center, the Kansas Republican says changes to the health care system must also create a climate that encourages better fitness, diet, wellness and preventative care.

Moran also says states should be given flexibility in complying with the 2010 federal health care reform act as it faces court challenges.

He said cuts in federal health care reimbursements are not a substitute for real reforms that would reduce the cost of providing services, increase access for more Americans, including rural areas, while maintaining high quality.

The senator has been touring Kansas hospitals to discuss concerns of health providers.