Some states often stand up for their citizens, and with a Democratic NY governor versus Trump and the GOP, I have zero doubt NY will fight this to the extent the laws and courts allow. Trump is strongly and actively disliked in his home state.

We are to pick this as a topic to fight back on? How about fighting back on law requiring people to purchase a product that they don’t want? No, USG says I have to have insurance while I don’t use doctors in network because they are worth less than WebMD. Instead I go to a doctor that I pay $160 out of pocket for a full hour visit that keeps notes on me that help to inform my future care.

Fighting what largess the USG wants to afford in deductions is silly. They could say there is 0 deduction for State taxes and be within their rights. NY is sulking because their government has gotten so out of hand that they have to strangle their citizens to avoid total default.

Aren't networks and medical insurance a problem across the board? I've had that problem on employer provided insurance plenty of times... it's got nothing to do with the federal requirements, it's just how dorked up the medical industry is.

I get what your'e saying but the details if what you describe is the a whole healthcare industry issue. Too often I see "OMG THIS IS THEIR FAULT" no it's just how the insurance industry is and nobody has a backbone enough to deal with that tangled mess. This networks and providers have been an issues since before any federal requirement(s).

Here’s where it is their fault. I quit my job, moved to Florida. I figured my wife and I could get a high deductible plan like my former employer provided, and save $100/month into our new HSA all for $400. We had a plan picked out from Florida Blue. Then, bam! I couldn’t get that plan anymore. Federal regulators required baseline features that moved that plan to, and I shit you not, $730. That’s more than my mortgage. So we used my wife’s company plan. No HSA. No asset accumulation. Just pure cost. Her doctor, same as mine, is not in network and does not take insurance. So that’s $1,500 a year that doesn’t go to the yearly 12k deductible.

I share your gripe, but I brought it up around this topic because interest of the states and USG are in a bit of conflict. The local governments know that once people aren't able to deduct as much of their real estate rent, they'll be pushing to get their rent lowered.