For the past year, the Trump administration and Republicans in Congress have led a charge to roll back the Affordable Care Act, signaling an openness to state changes.

Now, Idaho has jumped in, saying it will allow insurers to ignore some ACA rules on plans not sold on the marketplace, aiming to make these state-based plans less costly. Several of the changes are viewed by the law's supporters as hits to its core consumer protections.

Critics decried the move, saying Idaho can't unilaterally decide not to follow federal law, including some of the ACA's protections for preexisting conditions and its limits on how much more insurers can charge older or sick people.

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