An Uncertain Federalism: The States and the Affordable Care Act
L. Christopher Plein
Abstract:This article provides an initial assessment of the Affordable Care Act's recent implementation experience in the states. Drawing on state-level and regional analyses that have been coordinated by the ACA Implementation Network – a cooperative effort involving researchers in 35 states – this article highlights the uncertain policy environment associated with the politics and complexities of the ACA. Understanding the ACA implementation experience requires an appreciation for political context, but must also tak… Show more
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