Since the Affordable Care Act was passed in 2010, states have embraced the law to varying degrees. While some states have refused to implement the ACA and actively oppose it, other states have leaned in, stepping up to preserve the consumer protections and market rules in the wake of federal actions to weaken the law. CHIR’s Rachel Schwab examines steps that Washington State has taken to ensure that their residents can continue to obtain affordable, high quality coverage, and how other states can do the same.