GOP Senators Propose State ACA
U.S. Sens. Susan Collins (R-Maine) and Bill Cassidy (R-La.) introduced a bill on Jan. 23 that would let states choose whether to keep the Affordable Care Act's (ACA) core insurance structure. States that opt out would get the federal funding they would have received to enact their own ideas. It is unclear if Republican leaders in either chamber will embrace the bill. Collins said she would require a commitment to her bill or another firm plan to ensure her vote to repeal large parts of the ACA. Cassidy has said that he believes the plan could appeal to the Trump administration as it determines how to revise healthcare policy.
Under the Patient Freedom Act of 2017, states choosing to drop the ACA would have to keep a handful of the law's requirements affecting insurers, such as allowing parents to cover children as dependents up to age 26, paying claims without annual or lifetime limits, and issuing policies to people with preexisting conditions.