Additionally, every state can also provide their own Public Option. That is what Massachusetts did a long time ago and it is called "Mass Health."
Apply for MassHealth Coverage (click here)
"Mass Health" does require documentation for eligibility for the state insurance. According to the Kaiser Study most of the increases were due to the industry of health care and not due to The Affordable Care Act.
The Democrats have stated over and over there needs to be cost containment, but, to date that has not happened. New equipment for hospitals and offices have a depreciation value so that can't be it. There are more specialists today than before so that can't be it, unless of course they can simply dial up their own value and then the supply and demand side is worthless. The need is in Family Medicine and The Affordable Care Act supplies incentives for physicians to study and work within that discipline, so it is very needed.
Most of the health care increases are industry driven and I'll venture to say they are opportunistic as well.