"So much of the ACA implementation is left to the discretion of the administrative state. That will allow President Trump the opportunity to shape the course of the law," said Lanhee J. Chen, a fellow at Stanford University's Hoover Institution who advised 2012 GOP nominee Mitt Romney on health care. "Having an HHS secretary who understands the ins and outs of the law, as well as ways its implementation can be impacted, will be critical."
"I think that this is one of the most difficult issues that they're going to have to tackle. Obviously, I think governor[s of] each [state] have a vested interest based on the decision they made with respect to Medicaid expansion," said Lanhee J. Chen, a fellow at Stanford University's Hoover Institute who advised 2012 GOP nominee Mitt Romney on health policy.