The Unintended and Anticompetitive Consequences of Laws to Control Health Care Costs.

This JAMA Forum discusses the effects of certificate of need laws, certificates of public advantage laws, and restrictions on physician-owned hospitals under the Affordable Care Act on hospital expansion and renovation and health care costs.

Early Lessons From State-Based Public Option Plans.

This JAMA Forum discusses the early lessons from state-run public option­style health insurance plans in Colorado and Washington State that can be used by Minnesota and Nevada for their plans that are still under development.

Individual Health Accounts Can Bring Health Savings to More People in the US.

This JAMA Forum discusses health savings accounts and introduces the concept of individual health accounts that could enhance the ability of people in the US to save for their own health care expenses.

When Expansion Is Not Enough-State Innovation to Build Choice and Consumer Control in Medicaid.

This JAMA Forum discusses continued Medicaid expansion across the states, the enrollment boom during the COVID-19 pandemic, and new models of care with increased choice and control for Medicaid recipients.

Getting Ready For Health Reform 2020: Republicans' Options For Improving Upon The State Innovation Approach.

The 2020 presidential election will be consequential for the future of health reform, with the two major-party nominees taking very different views on the future of the Affordable Care Act (ACA), as well as the policies needed to lower health costs and continue to expand access to coverage. The Republican nominee will likely signal broad opposition to the ACA and a desire to replace it with a state innovation-based approach to reform, based on the Graham-Cassidy-Heller-Johnson legislation considered by the Senate in the fall of 2017. This article takes that legislation as a starting point, contextualizes it within the broader health reform discussion, and suggests ways to improve upon it to enhance the affordability of and access to coverage and to ensure that states have adequate flexibility to implement their policy goals.