First, we have several states suing the federal government over the "mandate" to purchase insurance.
Second, we see that BO-Care was passed with a lot of sweetheart deals:
"We started to see the answer today, as Republicans proposed a series of amendments and made motions that were designed to expose the corruption at the heart of the Democratic Party's legislation.
The amendment repeals the following "sweetheart deals" included in the health care law and the reconciliation bill:
1. Increase in Medicaid disproportionate share hospital (DSH) payments just for Tennessee (Section 1203, page 71 of H.R. 4872);
2. Increase in Medicaid DSH payments just for Hawaii (Section 10201, page 2132 of H.R. 3590);
3. The "Louisiana Purchase" to increase Medicaid funding just for Louisiana (Section 2006, page 428 of H.R. 3590);
4. Increased Medicare reimbursement just for frontier states (Section 10324, page 2237 of H.R. 3590);
5. Medicare coverage just for Libby, Montana residents exposed to environmental hazards (Section 10323, page 2222 of H.R. 3590);
6. A $100 million hospital funding provision intended to benefit Connecticut (Section 10502, page 2354 of H.R. 3590); and
7. Extension of Section 508 hospital reimbursement provisions just to Michigan and Connecticut (Section 10905, pages 2205-06 of H.R. 3590)" (via Power Line)
Third, it's still unclear how we are going to pay for this or how states will deal with the unfunded mandates.