Any legislation that clears Congress under the repeal and replace banner needs to do four things:

• It needs to rescue millions of people in ACA exchange plans now who are at risk of losing their coverage because of ObamaCare’s multiple failures.
• It must provide states more flexibility in managing their Medicaid programs so they can better serve their neediest citizens.
• It needs to provide a system of subsidies for people who need help in purchasing coverage but who aren’t offered health insurance at work and who are not eligible for public programs, especially Medicaid or Medicare.
• And it needs to return more authority to the states to oversee their health insurance markets, but with new flexibility and resources.

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