In a display of the permanent imprint the Patient Protection and Affordable Care Act (PPACA) has had on U.S. health care and politics, even Republicans are proposing to maintain some of its key provisions as they discuss repealing and replacing the landmark health law.

A bill introduced by Reps. Bill Cassidy, R-LA, and Pete Sessions, R-TX, would allow states to "opt out" of the PPACA.

"A state can choose. They can stay in Obamacare if they want, or they can join the World Greatest Health Care Plan," Cassidy told the Washington Times.

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