In an article contributed to the Law 360 website, Debevoise lawyers discuss the collapse of congressional efforts to pass comprehensive health care reform, and address the question of “what’s next?” Specifically, the team explores first Section 1332 “State Innovation Waiver” to be approved. The approval potentially signals a new approach to health care reform, allowing states to receive the U.S. Department of Health and Human Service’s permission to deviate from some (but not all) of the Affordable Care Act’s regulations, and to experiment with different models to subsidize health care.