Washington is the first state to introduce a public option for health insurance, but it has been difficult to get hospitals on board. Other states with public options in the works are taking notice.
Democrats control the new Congress by such a slim margin that passing health laws will be daunting. Instead Biden may have to use executive authority to advance his health care vision.
The Trump administration has been marked by a scaled-back federal investment and involvement in U.S. health care. Biden's team has plans to change that — even if Republicans retain Senate control.