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ACA Impact on State Regulatory Authority: Qualified Health Plans
Section 1321(d) of the Patient Protection and Affordable Care Act (ACA) specifically states that “nothing in this title shall be construed to preempt any State law that does not prevent the application of the provisions of this title” meaning that states can go beyond the federal law but if a state’s laws or regulations prevent a federal law from being implemented, then that law or regulation is preempted.
There is absolutely nothing new which I saw when briefly scanning the above. Federal Law always trumps state law!
If there is no conflict between the two then State Law reigns supreme. And that's exactly what the above paragraph states. If someone disagrees please advise.