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Future of Health Care Coverage? Look to the States
The future of the Affordable Care Act (ACA) is uncertain and health benefit costs are skyrocketing, but several states are working to take control of the matter.
Repeal the ACA
The Republican-led House and Senate passed a tax bill in December 2017 that eliminated the ACA's individual mandate, which was established to ensure that healthy Americans purchased health insurance to keep premiums down for everyone else, including those who were ill and needed more care.
Twenty Republican states are planning a lawsuit to abolish the ACA. Although the ACA was upheld in 2012 as constitutional, Texas and Wisconsin Attorneys General called the individual mandate an “unconstitutional and irrational regime” that was forced on the states. They reason that eliminating the penalty, which was deemed a tax, means the rest of the ACA won't stand.
Bring Back the Individual Mandate
Nine states are considering the opposite action — possibly bringing back the individual mandate.
Maryland lawmakers are developing a plan to replace the mandate. California, Connecticut, Hawaii, Rhode Island, Washington, Minnesota, New Jersey, and Vermont, and the District of Columbia also are considering similar moves.
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