Speaking to the nation’s governors, Obama said states should be able to request waivers for implementing alternatives to the reform law starting in 2014, three years earlier than the law allows. [...]
The waiver provision comes with a catch, however. A state’s waiver proposal must show that it is capable of providing coverage that is at least as comprehensive and affordable as that offered through new state-run health insurance exchanges, which also open in 2014. The state must also provide coverage to as many residents as the exchanges would have, and the proposal must not increase the federal deficit.