Earlier this week, Blue Cross Blue Shield of Idaho announced it would offer options in 2019 that would violate key Affordable Care Act principles.

These options would not offer minimum Essential Benefits and could deny coverage to individuals with preexisting conditions, which violates the 2010 law.

Idaho’s potential challenge to the health care law has national significance. The Trump Administration’s strong opposition to the ACA has raised questions whether it would require Idaho to enforce its requirements.

New U.S. Health and Human Services Secretary Alex Azar told Congress last week that he is waiting for Idaho state regulators to act before getting involved.