If the states can establish health care compacts that will demonstrably provide the same level of care as the federal programs, then they can withdraw from the federal programs. The good news is that this requires the approval of Congress to become law.
Health care compact. Establishes the health care compact.
Requires the securing of the consent of the United States Congress. Specifies that the state legislature of each member state has the primary responsibility to regulate health care in the member state's jurisdiction. Allows the governor to enter into the compact on behalf of the state.
Allows member states of the compact to suspend all federal laws, regulations, and orders concerning health care that are inconsistent with the laws and regulations adopted by the member state under the compact. Creates the interstate advisory health care commission consisting of individuals from member states.
Source:
http://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2012&session=1&request=getBill&docno=1269