The Affordable Care Act’s state innovation waivers allow states to develop approaches other than an insurance exchange. See below for more information on how the waivers work and on what other states are planning to do with them.

President Obama Supports State Experimentation

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Exchanges and Federal Waivers for State Innovation (Q & A)

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Sec. 1332: Waiver for State Innovation

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The 2017 Problem

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Congressional Legislation to Remove the 2017 Date
Senate legislation
House legislation

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Montana Governor Wants to Establish a Plan Like the One
in Canada’s Saskatchewan Province
(“Schweitzer calls for universal health care,”
Billings Gazette, September 28, 2011.)

Vermont Governor Signs Single-Payer Health Law
(“Vermont governor signs single-payer health law,”
CBS News, May 26, 2011.)