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Title: The Affordable Care Act: An Experiment in Federalism?

Citation Type: Miscellaneous

Publication Year: 2013

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Abstract: The Affordable Care Act is an experiment in federalism — or so it would appear at first glance. On October 1st, health insurance exchanges began enrollment across all 50 states and the District of Columbia. States can choose to manage the exchanges themselves, partner with the federal government or hand the task over entirely to the federal government. Thirty-four states will either partner with or delegate implementation entirely to the federal government, while 16 states (plus D.C.) will oversee their own health insurance exchanges, according to the Commonwealth Fund.1 Amidst a decades-long debate about whether complicated policy reform should be implemented at the state or the federal level, the ACA seems to provide a test of which level is better able to execute a new policy.

Url: https://pdfs.semanticscholar.org/8c7b/8d093bea703866469663bda4771fdc7679bc.pdf

User Submitted?: No

Authors: Dropp, Kyle, A; Jackman, Molly, C; Jackman, Saul, P

Publisher: Center for Effective Public Management

Data Collections: IPUMS NHGIS

Topics: Other

Countries: United States