"Our country's too big, too complicated, too decentralized for Washington, a few of us here, just to write a few rules about remaking seventeen percent of the economy all at once."
VOA: special.2010.02.27
More Washingtonrules and regulations are not the answer.
Such a Medicaid fee typically would need authorization from the Centers for Medicare and Medicaid Services in Washington, and federal rules could prevent Arizona from enacting it.