The Constitution established a federal government, but with limited and enumerated powers, and reserved to the states or to the people those powers not granted to the federal government. One power that properly belongs at the state level is the power to regulate Health Care. However, the federal government has preempted state action in this area.
The Health Care Compact is an interstate compact – which is simply an agreement between two or more states that is consented to by Congress – that restores authority and responsibility for health care regulation to the member states (except for military health care, which will remain federal), and provides the funds to the states to fulfill that responsibility.
The Health Care Compact does not conflict with the efforts by state attorneys general, state legislators and members of congress to repeal or modify the health care bill.