While the Trump administration continues to use its regulatory and legal powers to reshape the Affordable Care Act (ACA), states are making their own moves to protect or expand their insurance markets.
The result: More than before, if you buy your own health insurance, where you live will determine your choice of health plans and what you will pay for them—and the geographic differences may be dramatic.
“States are lining up on where they stand with the ACA,” says Karen Pollitz, a senior fellow at the Kaiser Family Foundation, a nonprofit that focuses on national health policy issues.