Despite the transfer of power in Washington, many states remain understandably frustrated that so-called Washington solutions to the mounting healthcare crisis remain elusive and largely inadequate in their scope. While there may be cause for hope that more flexibility may be coming from a new administration, states must realize what opportunities already exist to begin immediately reclaiming control of their healthcare marketplaces.

Whether or not “Obamacare” stays or goes, this toolkit outlines twenty reforms that states can begin seeking immediately to flex their muscles against Washington’s bureaucratic red tape. By taking advantage of opportunities that already exist and demanding even greater flexibility through the process, states can innovate with more affordable, accessible, market- driven healthcare solutions whether or not Washington passes reforms dismantling Obamacare.

This toolkit has been prepared and edited by Naomi Lopez Bauman of The Goldwater Institute, Rea Hederman of The Buckeye Institute, and Lindsay Boyd of The Beacon Center of Tennessee, on behalf of the State Policy Network Healthcare Working Group.