Brookings Institution: Residents of States That Were Resistant to ACA Implementation Faced Higher Costs

States' decisions on how to implement portions of the Affordable Care Act have had significant effects, according to a new Brookings Institution study. According to the study, individuals living in the five states -- Alabama, Missouri, Oklahoma, Texas and Wyoming -- that were most resistant to the ACA spent $245 more annually on health insurance premiums than individuals in all other states.

• "Measuring the Impact of States' Obamacare Decisions" (Millman, "Wonkblog," Washington Post, 9/11).