Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

States Are the Key to Both Strengthening and Replacing the Affordable Care Act

States Are the Key to Both Strengthening and Replacing the Affordable Care Act News & Analysis The JAMA Forum States Are the Key to Both Strengthening and Replacing the Affordable Care Act Stuart M. Butler, PhD he prevailing view among health some features of the ACA, such as Medicaid policy experts seems to be that to- expansion. And it will serve as a safety valve T day’s political polarization means for those Democratic states that are un- years of trench warfare are ahead for the Af- happy with certain features of the law. fordable Care Act (ACA). According to this However, beginning in 2017, a less gloomy view, a messy stalemate is assured talked-about provision of the ACA takes ef- for years to come. fect that could be the game changer, coin- I’m not so sure. I believe the states can cidentalwiththeinaugurationofanewpresi- and will become the vehicle—both politi- dent. Section 1332, the “Waivers for State cally and technically—for an era of progress Innovation” takes effect. Added to the ACA in which each political side can genuinely de- duetotheeffortsofSenRonWyden(D,Ore), clare victory. the section allows states to request sweep- For its part, the Obama Administration ing changes to the ACA’s standard provi- has been granting waivers from regulations sions, including exemptions from the essen- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

States Are the Key to Both Strengthening and Replacing the Affordable Care Act

JAMA , Volume 313 (2) – Jan 13, 2015

States Are the Key to Both Strengthening and Replacing the Affordable Care Act

Abstract

News & Analysis The JAMA Forum States Are the Key to Both Strengthening and Replacing the Affordable Care Act Stuart M. Butler, PhD he prevailing view among health some features of the ACA, such as Medicaid policy experts seems to be that to- expansion. And it will serve as a safety valve T day’s political polarization means for those Democratic states that are un- years of trench warfare are ahead for the Af- happy with certain features of the law. fordable Care Act (ACA)....
Loading next page...
 
/lp/american-medical-association/states-are-the-key-to-both-strengthening-and-replacing-the-affordable-PuHLpYlT0a
Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2014.16440
pmid
25585311
Publisher site
See Article on Publisher Site

Abstract

News & Analysis The JAMA Forum States Are the Key to Both Strengthening and Replacing the Affordable Care Act Stuart M. Butler, PhD he prevailing view among health some features of the ACA, such as Medicaid policy experts seems to be that to- expansion. And it will serve as a safety valve T day’s political polarization means for those Democratic states that are un- years of trench warfare are ahead for the Af- happy with certain features of the law. fordable Care Act (ACA). According to this However, beginning in 2017, a less gloomy view, a messy stalemate is assured talked-about provision of the ACA takes ef- for years to come. fect that could be the game changer, coin- I’m not so sure. I believe the states can cidentalwiththeinaugurationofanewpresi- and will become the vehicle—both politi- dent. Section 1332, the “Waivers for State cally and technically—for an era of progress Innovation” takes effect. Added to the ACA in which each political side can genuinely de- duetotheeffortsofSenRonWyden(D,Ore), clare victory. the section allows states to request sweep- For its part, the Obama Administration ing changes to the ACA’s standard provi- has been granting waivers from regulations sions, including exemptions from the essen-

Journal

JAMAAmerican Medical Association

Published: Jan 13, 2015

There are no references for this article.