The Future of Health Care Reform — Section 1332 Waivers and State-Led Reform

Abstract

By the beginning of 2016, most major components of reform contained in the Affordable Care Act (ACA) had been implemented, including Medicaid expansion, insurance exchanges, and insurance subsidies. These reforms made substantial inroads in increasing access to care and reducing the uninsured rate. Yet even before the 2016 election, policymakers from both political parties had been calling for further reforms.1 Now, dismantling the ACA will apparently be a central goal in Washington. Actually repealing and replacing the entire ACA would be a complicated process, even with Republican majorities in both chambers. Gridlock over what a replacement plan would look like . . .