In a Wall Street Journal op-ed piece last week, three top House Republicans -- John Kline (R-MN), Paul Ryan (R-WI) and Fred Upton (R-MI) -- offered an alternative to the Affordable Care Act (ACA) that would allow states to "opt out" of the law. Their proposal would end both the employer and the individual mandate, as well as regulations dictating insurance coverage requirements. It would permit people to purchase insurance across state lines, create small business insurance pools, and include reforms to medical malpractice laws. Some particularly popular provisions of the ACA, such as allowing people up to age 26 to remain on their parents' insurance plans and not allowing people with pre-existing conditions to be denied would be preserved.
In a separate op-ed published in the Washington Post, Senate Republicans Orrin Hatch (R-UT), Lamar Alexander (R-TN) and John Barrasso (R-WY), said they would allow federal subsidies to continue to assist people in purchasing health coverage, but that they would give states the freedom and flexibility to create better, more competitive health insurance markets.