I spoke with a member of the house today and he didn’t think that it works for Medicare. He said that there are some limits on what the state can regulate, for example they don’t have any legal control over high deductible plans. He said they can’t impact “self insured” plans (typically used by large businesses. Those are employer created plans that the state doesn’t have any control over. He says the Feds would have to manage those.
Overall, he thought the law impacted about 2/3 of people in my state.