I live in a red state and we've had 50 plus mandates before obamacare, from mental health to autism coverage, we did not have maternity. Most were implemented by Republican governors over the years. We also had a high risk pool back in the late 90's that went bust. We also had some of the highest insurance premium rates in the country before obamacare and they only went up. This state also did not expand Medicaid and probably never will regardless if the govt throws this back on the state's.
A few changes have already been made by Secretary Price for 2018 that does not have to go through legislation. If you remember there were and are rules that can be implemented or changed at anytime. One that can not is the individual mandate that many on this board and out there in the country thinks it's gone. It is not for the moment. His EO left it up to IRS to enforce, and they are. In the first version a few weeks ago the bill had the mandate rolled back to Dec 31,1015, but as we know did not even get a vote.
This new proposed bill will not pass in it's present form and 2018 pretty much will be set by around June 21st as far as plans and rates filed with state departments of insurance and HHS. The way it is now, the uncertainty of what may happen down the road I'm afraid most people will again see double digit increases for 2018. Yes, many of the larger insurance companies (despite what you read) did record a profit for 2016 and rates were suppose to stabilize for 2018, but probably will not happen because of all the screwing around in D.C.