From Los Angeles Times: (click for full article)
The Congressional Budget Office recently estimated that 30 million Americans still will be left without health insurance in 2022, after the U.S. Supreme Courtruling that largely upheld President Obama's healthcare plan. The part of the plan that was not upheld by the high court, however, contains the key to lowering that number.
The issue revolves around what it means to be covered by health insurance, and who decides. Before the Supreme Court's ruling, the answer was unambiguous. Medicaid (known as Medi-Cal in California) is a program paid jointly by the state and federal governments, but only the federal government had the authority to say what kind of coverage was sufficient. If a state, for example, wanted to cover more people by cutting out more expensive kinds of treatment, a federal waiver was required — and seldom given.
But under a reasonable interpretation of the court's recent decision, that might no longer be true. If California wants to cover more of its residents without health insurance but with a more plain-vanilla kind of coverage, for example, it should now be able to do so.