
President Obama's willingness to let states design their own health care systems while meeting key federal goals as early as 2014 represents a challenge to Republican governors and lawmakers opposed to the federal law.
Obama's endorsement of legislation Monday that would give states such freedom three years earlier than the 2010 law allows was panned by Republicans more interested in repealing the entire law or getting the U.S. Supreme Court to declare it unconstitutional.
On the other hand, the president's move was applauded by lawmakers in Vermont who want to go even further than the federal law, which is designed to cover 32 million more...