Several states are actively considering their own mandate for citizens to carry health insurance given the federal repeal. (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. source: WSJ 2-5-18)
Just imagine the bureaucracy and cost associated with setting up monitoring, controls and a penalty collection system for these states? And hey, do you think it would impact people moving in and out of the state? And what would it do to the assumptions used for federal premium subsidies?