Mitt Romney often defends the individual mandate that was the cornerstone of his Massachusetts health care reform law by saying it was put in place on a state level. But the health care reform plan he campaigned on in 2008 was also largely centered around the concept. Although the plan implies using a "federalist approach," the plan doesn't specifically imply it that it is a states-only approach. Implementing the concepts laid out in the Romney plan, including the "Stop The Free Riders," concept would most likely have to involve some coordination on the federal level.
