Yesterday, we talked about the overview and analysis of the SCOTUS decision about the PPACA, and today, we’ll begin with talking about the implications for the states.
Lynn said that she wanted to build off of Stuart’s point about federalism, and discuss what’s going to happen at the state level. The state is going to have to decide whether to expand its Medicaid program, whether to do an exchange or not. States, like the federal government, also have an executive and legislative branch. The ACA requires the establishment of exchanges in each state, and if a state does not do it, there will be a federal exchange. Lynn said we’ve seen movement by the Obama administration for perhaps a hybrid exchange, where the feds come in where the states need extra capabilities.