• Requiring the inevitable block grants for Medicaid be spent on programs exclusively dedicated for individuals below the poverty line (so as to deny the Californian single-payer system Medicaid funding and divide the negotiating power across at least two different plans)
  
• Mandating that all plans accept patients from all states, so that "cheaper" Californian single-payer has to be able to cover Mississippians and so on who try to join without even leaving Mississippi.
  
• Conversely, (and this is, in fact, very likely) allowing insurance to be purchased across state lines with no exceptions, especially if it included a provision that would prohibit states from imposing any restrictions on what insurance is purchased, including requiring any insurance to be held at all (so as to kill Romneycare, and so Californians could go to a "cheaper" South Dakotan plan and have a defense under federal law against California penalizing them for not going with single-payer)
  
• Imposing restrictions on hospitals that accept Medicare payments that they must accept at least one insurance plan from a federally approved list of insurers (which will conveniently exclude any single-payer plan, so as to "guarantee a space for the free market", and also offer private insurers a space to squeeze hospitals for more money)
  
• On the other end, require that any eventual "Medicare" voucher be spent with an approved insurer (again, California would be conveniently excluded)
  
• Require expensive auditing of any single-payer plan that receives federal funds to ensure that it offers a platinum-equivalent plan before it may receive federal funding. Naturally, the law will be written in such a way that insurers can game the system by offering a ridiculously expensive, really good plan that no one can buy, yet the existence of said plan requires California provide an equivalent.
  

ComradeCosmobot fucked around with this message at 04:46 on Jan 7, 2017