Road to ACA repeal starts in the states
Cato's health care guru, Michael Cannon, in his most recent column, calls attention to the fact that implementation of the Affordable Care Act is entirely dependent on compliance from state policymakers.In particular, for the law to have any teeth, states must agree to (1) set up exchanges and (2) expand their Medicaid eligibility requirements. According to Cannon, if states refuse to do both they could essentially block the $1.6 trillion in new federal spending that the law would compel over the next 10 years and could even force Congress to repeal it altogether.
It's an interesting read...and one that should be carefully scrutinized by Silver State policymakers.