In addition to resisting implementation of the Affordable Care Act, there are other positive—albeit modest—policy reforms on the state level that lawmakers can and should pursue to lessen the harmful effects of the ACA and improve health care coverage for Texans. State lawmakers can and should enact policy reforms targeting problems that have reduced access to insurance coverage and contributed to increasing health care costs in the Lone Star State. The reforms include: allowing state employees to establish health savings accounts; reviewing all state health insurance mandates and eliminating those that go beyond the highly-prescriptive and onerous Essential Health Benefits required by the ACA; and taking advantage of a provision in the federal health care law that will shield small group employers from the community rating provision until January 1, 2016.