Sonya Schwartz at Health Affairs Blog has a great piece looking at how the “active states” might fare after the U.S. Supreme Court issues its ruling on the constitutionality of the Affordable Care Act sometime this month.
Connecticut made the list of active states considered in the analysis and Schwartz’s work mirrors some of the findings made by Universal Health Care Foundation of Connecticut. The overall takeaway is that for active states no ruling will end health care reform efforts but it may impact how the states tackle the work, the tools they have at their disposal and the time frame in which it can be completed.
Schwartz uses a Richter Scale analogy in her piece, how much the ground shifts is dependent on how little of the law is changed by the decision. Smaller changes mean less impact. To continue her analogy, Connecticut and the other active states, have a stronger infrastructure in place so any ground shift will have less impact and disruption then elsewhere.