Without reading the article I would guess:
Health Savings Account plans
State Block Grants
6k deductibles - so everyone is paying a premium and their own care costs. Most people average $1,200 a year in actual costs.
Robing the grant money to back-fill loses due to tax reductions for the rich.
Leaving cash gaps between the voucher and actual premium costs which would shut some people out of coverage due to cost.
Your GOP working for a better yesterday.
Oh almost forgot;
ISIS is out to get you!