Op-ed | What happens when state healthcare laws conflict with federal healthcare laws?

Federal healthcare laws, such as the Affordable Care Act (ACA), take precedence over state laws under the Supremacy Clause, but conflicts persist, particularly in Medicaid expansion. While the ACA reduced the uninsured population from 48.6 million in 2010 to 29.3 million in 2017, legal challenges and policy changes, including the 2025 Reconciliation Law, have created ongoing disputes over coverage and subsidies, leaving millions without insurance in non-expansion states.