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Idaho kicks off the next big ACA battle

Photo: Jabin Botsford/The Washington Post via Getty Images

Idaho Gov. Butch Otter said last month he would let insurance companies sell policies that do not comply with the Affordable Care Act. And yesterday, Blue Cross of Idaho took him up on it.

The bottom line: This is a huge test for Health and Human Services secretary Alex Azar. And if he doesn’t step in enforce the ACA now, the Trump administration could ultimately find itself tied up in just as much ACA litigation as the Obama administration. (Medicaid work requirements are also being challenged in the courts.)