Ken said,For us, when we decided to move from WA (to CA), health insurance was one of our major reasons for picking CA. Since health insurance can be the most unpredictable part of FIRE, I think you and your family were wise indeed to consider health insurance into the equation of which state to live in. The rules seem to vary so much from state to state. Here's a situation I'm in: I used to live in CA and obtained health insurance while there. Because I obtained the policy while a CA resident, I've been able to keep policy for a number of years even after I moved to AZ. However now I have found a better policy so I'm dropping the CA policy. If in the future I ever decide to re-apply for CA policy I would have to once again re-establish residency in CA.