At least nine states, including California, are considering their own versions of a requirement that residents must have health insurance according to the Wall Street Journal.
The move that could accelerate a divide between Democratic states trying to shore up the Affordable Care Act and Republican states intent on tearing it down.
Congressional Republicans in December repealed the so-called individual mandate, a pillar of the ACA, as part of their tax overhaul.
Maryland lawmakers are pursuing a plan to replace the ACA mandate, which requires most people to pay a penalty if they don’t have coverage. States including California, Connecticut, Hawaii, Rhode Island, Washington, Minnesota, New Jersey and Vermont, as well as the District of Columbia, are publicly considering similar ideas.
This push illustrates a shift in the health care battle from Capitol Hill to the states, igniting a surge of activity that could redefine access and coverage for millions of consumers.