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The Wisconsin governor has a unique proposal for the program, but criticism could come from the right and left.
But the politics of pulling off a vote to repeal the tax will be difficult.
A health care legislative package is tentatively expected to move in the coming months.
Lawmakers, on the other hand, seem to be in no hurry to address rising prescription drug costs.
One senator wants to add it to child welfare legislation this fall.
Specific policy agendas means ammunition for critics from the Right and Left.
Experts don't expect states to pursue foundational reforms at first under the ACA waiver program.