The latest health care reform proposal, which includes a public insurance plan that state’s could “opt out” of, has raised the possibility that the debate currently raging in Washington could be headed to state capitols around the country.

As the news site Politico points out, the details of how, exactly, a state can opt out are still not known. It could be a vote in the legislature, or, it could be put to the public in the form of a referendum. But with at least one prominent Iowa Republicans already calling any public health care option reason to invoke the 10th Amendment, if U.S. Senate Majority Leader Harry Reid, D-Nevada, gets his way health care could join the myriad issues facing Iowa legislators in the coming years.

When contacted by the Iowa Independent, a spokesperson for House Minority Leader Kraig Paulsen, R-Hiawatha, declined to comment. Senate Minority Leader Paul McKinley, R-Chariton, did not respond to several attempts to get his views on the issue.

But Republican gubernatorial hopeful Bob Vander Plaats has already made an issue out of the push for health care reform, saying Iowa should not only opt out of federal health care reform but possibly opt out of Medicaid and Medicare as well.

In Kansas, conservative lawmakers are already suggesting changing the state Constitution to exempt the state from federal health insurance mandates.

It is important to remember, though, that in Iowa Democrats still control majorities in both legislative chambers, meaning any debate surrounding opting out of health-care legislation will likely be saved for the campaign trail.