I think all stayes should participate with a caveat of course. Mr Klein state that by the year 2022 33 million citizens will be insured under the care act.A stste should accept tjis care act only if they can opt out of providng care to all those people in this country with out proper documentation. a state should not have to provide care to those who are living the shadows of our uncaring employment system. If aperson has been in our state and is employed for the gainful purpose of income to provide for his family he must participate with all revenue programs our federal government needs . So this will rid our states of the large number of unducmented individuals who drain our state coffers paying for their care. Yes the Care Act is a wonderful way to provide care for all us poor U.S. Citizens.