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The Administrative Presidency and Fractious Federalism: The Case of Obamacare

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  • Frank J. Thompson
  • Michael K. Gusmano

Abstract

Growing executive branch discretion in the U.S. separation-of-powers system has elevated the importance of the administrative presidency. However, research on this topic has paid scant attention to federal policies that rely on the states to implement them. We seek to advance knowledge of the administrative presidency under conditions of fractious federalism by examining the nature and efficacy of the Obama administration’s efforts to secure state cooperation in implementing the Affordable Care Act (ACA). This law sought to assure that nearly all Americans would have health insurance. Despite strong partisan, ideological pressures on Republican policy makers in the states to refrain from implementing the ACA, the Obama administration has had some initial success in overcoming their resistance. Waivers have been a particularly valuable presidential tool.

Suggested Citation

  • Frank J. Thompson & Michael K. Gusmano, 2014. "The Administrative Presidency and Fractious Federalism: The Case of Obamacare," Publius: The Journal of Federalism, CSF Associates Inc., vol. 44(3), pages 426-450.
  • Handle: RePEc:oup:publus:v:44:y:2014:i:3:p:426-450.
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    File URL: http://hdl.handle.net/10.1093/publius/pju011
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    Cited by:

    1. Paul Nolette, 2017. "The Dual Role of State Attorneys General in American Federalism: Conflict and Cooperation in an Era of Partisan Polarization," Publius: The Journal of Federalism, CSF Associates Inc., vol. 47(3), pages 342-377.
    2. Carol S. Weissert & Benjamin Pollack & Richard P. Nathan, 2017. "Intergovernmental Negotiation in Medicaid: Arkansas and the Premium Assistance Waiver," Publius: The Journal of Federalism, CSF Associates Inc., vol. 47(3), pages 445-466.
    3. Willison, Charley, 2017. "Shelter from the Storm: Roles, responsibilities, and challenges in United States housing policy governance," Health Policy, Elsevier, vol. 121(11), pages 1113-1123.
    4. John Dinan, 2014. "Implementing Health Reform: Intergovernmental Bargaining and the Affordable Care Act," Publius: The Journal of Federalism, CSF Associates Inc., vol. 44(3), pages 399-425.

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