Despite the GOP's characterization of the Affordable Care Act as a one-size-fits-all federal mandate, the actual provisions of the law and the regulations promulgated by federal agencies reveal a state-based reform that allows governors and state legislators significant leeway and input in its implementation. For instance, today, the federal government issued guidance about oh the law's essential health benefits: the standard benefits insurers will have to offer beginning in 2014.
Regulators have long sought to balance affordability with comprehensiveness and in today's "pre-rule bulletin," the federal government has chosen to leave that task up to the states. Instead of establishing a single national standard, "states will be able to design benchmark plans based on one of four choices: |