However, the implementationguidancefor pulling contracted services back into the government that Deputy Defense Secretary William Lynn issued in late May of 2009 made the changes sound like something more than a workforce adjustment.
Well thought out, carefully drafted vehicles, and professional guidance on implementation and management, allow for greater flexibility for contingencies than generally assumed.
You and other Republican governors could take note of existing flexibility already built into the law, continue pressing for more guidance and details about other aspects of implementation, and then try to strike a deal with the White House to achieve additional waivers in exchange for your agreement to set up and administer state insurance exchanges.