State Insurance Reforms and the Trade-Offs of a Public Option

Ten years after the passage of the Affordable Care Act (ACA), the cost of health care continues to rise faster than wages, and millions of Americans are uninsured or underinsured—a toxic combination during a global pandemic. While further action on the Hill has stalled, several state legislatures have sought to go beyond the ACA by exploring and enacting a diverse array of public option proposals. In State Insurance Reforms and the Trade-Offs of a Public Option, Roosevelt Fellow Naomi Zewde and Lafayette College’s Adam Biener analyze these state-level efforts and the policy trade-offs they face.