Support legislation allowing states, including South Carolina, to opt out of the major mandates of Obamacare.

Lindsey Graham · South Carolina · Republican

policy impact 0.56 specificity 0.74 extraction confidence 90%

Commitment kind: unknown. Promised action: not established. Promised outcome: not established. Deadline: unknown; not assumed expired.

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Occurrences

Evidence

legacy_unverified · Source version not recorded · locator unknown

U.S. Senators Lindsey Graham and John Barrasso said they introduced S.244, the State Health Care Choice Act, to repeal and replace Obamacare by allowing states to 'Opt-Out' of its major provisions, including the individual mandate, employer mandate, Medicaid mandate, and benefit mandates.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Shows Graham actively supported and introduced legislation matching the promise to let states opt out of major Obamacare mandates.

partial same_term A for effort

Barrasso, Graham Introduce Legislation Allowing States to ‘Opt-Out’ of Obamacare
secondary · model gpt-5.4-mini · confidence 98%

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legacy_unverified · Source version not recorded · locator unknown

Congress.gov records S.244, the State Health Care Choice Act, as introduced in the Senate on 2011-02-01 and summarizes it as authorizing states to limit application of PPACA by enacting a law expressing intent to opt out of one or more provisions, including individual and employer coverage requirements and Medicaid expansion. Latest action shown is sponsor introductory remarks on 2011-02-07; the bill status is Introduced.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Official bill record confirms the opt-out proposal was introduced, but it did not advance to enactment.

never same_term A for effort

S.244 - State Health Care Choice Act
secondary · model gpt-5.4-mini · confidence 97%

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legacy_unverified · Source version not recorded · locator unknown

Graham said he and Trey Gowdy were pushing the State Health Care Choice Act, which would allow states to 'opt-out' of the major mandates included in Obamacare. The release says the bill would let a state like South Carolina opt out of the ACA's mandates.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Confirms Graham continued to champion the state opt-out concept during the 2014 campaign period.

partial same_term A for effort

Graham, Gowdy Support Giving States Ability to Opt-Out of Obamacare - Press Releases - United States Senator Lindsey Graham
primary · model gpt-5.4-mini · confidence 96%

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legacy_unverified · Source version not recorded · locator unknown

Graham announced he had signed on as a cosponsor of the Patient Freedom Act of 2017, saying it transfers power from Washington back to patients and states and repeals several Obamacare mandates, while giving states three options including a state alternative and keeping Obamacare.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Shows continued later-term support for state-directed alternatives to Obamacare mandates, but still as a proposal rather than enacted law.

partial later_term A for effort

Graham Signs Onto Obamacare Replacement Plan
secondary · model gpt-5.4-mini · confidence 89%

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legacy_unverified · Source version not recorded · locator unknown

GovInfo records S.1711, the State Health Care Choice Act, as an Introduced in Senate bill in the 113th Congress. The full title was to enable States to opt out of certain provisions of the Patient Protection and Affordable Care Act. The action listed says Barrasso, for himself, Graham, and Ayotte, introduced the bill; it was read twice and referred to the Committee on Finance. Graham is listed as a cosponsor.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Official bill text metadata confirms Graham backed state ACA opt-out legislation during the relevant Senate term, but the recorded action stopped at introduction and referral rather than enactment.

never same_term A for effort

S. 1711 (IS) - State Health Care Choice Act - GovInfo
secondary · model gpt-5.5 · confidence 96%

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legacy_unverified · Source version not recorded · locator unknown

Congress.gov records S.191 as the Patient Freedom Act of 2017. The bill status is Introduced, with latest action on 2017-01-23: read twice and referred to the Committee on Finance. CRS summarized that the bill gave states options regarding PPACA title I, including waiving title I requirements with specified exceptions. The Congress.gov cosponsors page lists Sen. Lindsey Graham [R-SC] as a cosponsor on 2017-01-30.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Official congressional records show later-term continued concrete support for state ACA alternatives/waivers, but the bill remained introduced and did not deliver a state opt-out law.

never later_term A for effort

S.191 - Patient Freedom Act of 2017 - Congress.gov
secondary · model gpt-5.5 · confidence 93%

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Assessments

Public state: unverified As of unknown · legacy_unverified · . Original AI recommendation (not independently established): delivered. same_term

The promise was framed as supporting legislation, not guaranteeing enactment. Graham materially satisfied that by introducing and cosponsoring State Health Care Choice Act bills that would let states opt out of major ACA mandates, including S.244 in 2011 and S.1711 in 2013, and by continuing to publicly champion the proposal during the 2014 Senate campaign. Later support for the Patient Freedom Act reinforces the position, though those bills did not become law. Because the pledged action was legislative support rather than final passage, this counts as delivered rather than merely attempted.

provider codex_cli · model gpt-5.5 · confidence 90%

Public state: unverified As of unknown · legacy_unverified · . Original AI recommendation (not independently established): never. same_term A for effort

Graham did seriously advance the policy by introducing S.244, the State Health Care Choice Act, and later backing similar Obamacare replacement plans that would let states opt out of major mandates. But the cited legislation remained introduced and did not become law, so the promised outcome was not delivered.

provider codex_cli · model gpt-5.4-mini · confidence 98%

Public state: unverified As of unknown · legacy_unverified · . Original AI recommendation (not independently established): never. same_term A for effort

Lindsey Graham did materially support and introduce legislation matching the promise, including the State Health Care Choice Act, which would have let states opt out of major Obamacare mandates. But the proposal did not become law, so the promised outcome was not delivered. His effort counts, but the result remained unmet.

provider codex_cli · model gpt-5.4-mini · confidence 98%

Public state: unverified As of unknown · legacy_unverified · . Original AI recommendation (not independently established): delivered. same_term A for effort

The promise was framed as supporting legislation, not necessarily securing enactment. Graham had already introduced S.244, the State Health Care Choice Act, and during the 2014 Senate campaign period publicly continued pushing the same state opt-out proposal with Trey Gowdy. The bill matched the promised policy by allowing states such as South Carolina to opt out of major ACA mandates. It did not become law, but the promised action was legislative support, which he materially provided in federal office during the relevant same-term context.

provider codex_cli · model gpt-5.5 · confidence 94%

Public state: unverified As of unknown · legacy_unverified · . Original AI recommendation (not independently established): delivered. same_term

The promise was framed as supporting legislation to let states such as South Carolina opt out of major Obamacare mandates, not necessarily guaranteeing enactment. Graham had already introduced S.244, the State Health Care Choice Act, in 2011, continued publicly backing the same opt-out concept during the 2014 Senate campaign, and later cosponsored related Obamacare replacement legislation in 2017 during the Senate term following that campaign. The underlying opt-out legislation did not become law, so this should not be credited as delivering the policy outcome itself, but it does fulfill the narrower promise to support such legislation in the relevant federal office context.

provider codex_cli · model gpt-5.5 · confidence 91%