The AHCA’s MacArthur Amendment: Unusual politics, unusual policy

Blogpost on Brookings, included discussion of Pamela McCann’s book.

By giving states the ability to opt-out of particular requirements established in federal law, we can think of the MacArthur Amendment as a specific example of what political scientists call delegation, or the decision by Congress to give some other actor the authority to make certain choices rather than retaining that responsibility for themselves.  As Pamela Clouser McCann documents, states are a frequent recipient of power from Congress, and we should expect individual members to make choices about whether to delegate to the states based on their expectations about the consequent policy outcomes.