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Protestors hold signs against Affordable Care Act repeal outside the Capitol last year. Photo: Bill Clark / CQ Roll Call

Now that Washington has decided not to help shore up the Affordable Care Act’s insurance markets, a lot of attention will inevitably turn to the states. But don’t expect to see anything approaching a comprehensive fix at the state level.

The latest: States are mainly looking at two big policy solutions to try to stabilize their individual insurance markets — passing their own version of an individual mandate, or creating their own reinsurance programs to help compensate insurers for their most expensive patients, so that they don’t recoup those costs through higher premiums.

Not all of them are going to be able to come in on their white horse and save the day, although I think several of them will try.
— Sabrina Corlette, a health policy expert at Georgetown University.

Yes, but: It’s mostly the usual blue-state suspects — California, Maryland, Washington — considering these steps.

  • Individual mandates aren’t much more popular at the state level than the ACA’s was.
  • Experts agree reinsurance would work, but they’re reasonably complex programs that needs a lot of logistical support to actually stand up and start operating.
  • And states’ legislative calendars are already making it hard to envision many of them tackling that undertaking before insurers have to set their premiums for next year.
  • “If states want to move on that, they should have been working on it weeks ago,” Corlette said. “That is not something that you can just flip a switch and make it happen.”

Go deeper

Updated 59 mins ago - Politics & Policy

Pelosi appoints GOP Rep. Kinzinger to Jan. 6 committee

House Speaker Nancy Pelosi (D-Calif.) announced Sunday that she has appointed Rep. Adam Kinzinger (R-Ill.) to serve on the House select committee investigating the Jan 6. Capitol riot.

Why it matters: Pelosi's announcement comes after she rejected two of the five Republican appointments offered by House Minority Leader Kevin McCarthy (R-Calif.).

USCP chief: Officers testifying before Jan. 6 committee "need to be heard"

Thomas Manger, the new chief of the U.S. Capitol Police, Photo: Tom Williams/CQ-Roll Call, Inc via Getty Images

New Capitol Police chief Tom Manger said officers testifying before the Jan. 6 select committee this week "need to be heard."

Driving the news: The select committee's first hearing is set to take place on Tuesday and will feature testimony from law enforcement officers who were subject to some of the worst of violence during the insurrection.

Mike Allen, author of AM
3 hours ago - Politics & Policy

America's "Friendscape" crisis

New research shows Americans have fewer friends than in the past, and are less likely to have a best friend.

  • Why it matters: At a time of excruciating mental and societal stress, this is another sign we're breaking apart. And the friendship drought could get worse with more people working remotely or hybrid-ly.