ACA Proposal May Threaten State Mandates: States of Play

March 23, 2026, 6:32 PM UTC
Photographer: Joe Raedle/Getty Images

A Trump administration proposal could incentivize states to undo their own Obamacare marketplace coverage requirements for disease screenings and fertility treatments, Lauren Clason reports.

  • “While the proposal does not outright prohibit state mandates, it does create a financial incentive for states to repeal or invalidate state mandates,” the American Cancer Society’s Cancer Action Network wrote to the Centers for Medicare & Medicaid Services.
  • Lobby groups warn that state mandates for Alzheimer’s screenings, cancer detection, and diabetes management supplies could be at risk. Twenty-eight states currently mandate coverage for follow-up breast cancer screenings.
  • If finalized, states would become ...

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