Republican efforts to roll back Obamacare were wildly unpopular and a big reason that they lost their majority in the U.S. House of Representatives last November. But Republicans are still at it, especially in state capitals where they still have full control of legislatures.

The latest effort is unfolding in Kansas , where GOP leaders propose to bring back the kinds of insurance policies that the Affordable Care Act sought to eliminate policies that frequently had much lower premiums, but only because they excluded key benefits or werent available to people with serious medical problems.

The legislature is looking at several proposals, all of which would create new options for residents of Kansas. The most controversial, and potentially most consequential, is a bill that would allow the Kansas Farm Bureau to sell health benefits coverage that would not, by law, count as a form of insurance.

The distinction is not really about substance. The plans would still collect payments from subscribers, pay medical bills and set up doctor networks, just like traditional insurance plans do. But with the special status under the proposed law, the Farm Bureaus plans would be exempt from the Affordable Care Acts regulations which would mean, for starters, no guarantee of coverage for people with pre-existing conditions.

The Farm Bureau plans would also be outside the jurisdiction of the states department of insurance. Customers looking to challenge treatment denials or make other complaints would have to appeal to the state attorney generals office, rather than the agency who have expertise in handling the insurance industry.