Section 1332 needs to be amended to narrow the discretion vested in HHS to approve or reject state health-reform plans and grant waivers. It also needs to more explicitly and precisely empower states to enact innovative health reforms, while providing them with the federal funding necessary to implement them.
How? Congress could specify that state waiver applications will be presumptively approved so long as they are deficit-neutral to the federal government. States would then be expected to make adjustments to their plans, as needed, if subsequent experience demonstrates that their coverage or cost goals were not met.
via Lanhee Chen: Why Not 50 Different Affordable Health-Care Plans? – WSJ.
The Health Policy Skeptic 