This is how your Republicans in Congress make simple things so screwed up. They make special provisions for citizens that are different in every state.  Sure it is great when you are in Alaska and get special treatment. But how about things Alaskans do not get but residents of other states do.  Having a national program implies it is the same for all citizens. 
How crazy is this: you live in Alaska and are covered for some problem. You move to another state and it no longer covered.