Other states, too, are taking some steps toward similar approaches. Montana is exploring how to open up its Medicaid program to public employees and, eventually, to any citizens in the state, although it’s unclear whether the state will receive waiver authority to do so. Oregon is toying with a similar approach just as Vermont moves forward on its plan to go single-payer. The public option may not have much political traction, but in terms of state policy it isn’t dead either.