On Thursday, [Virginia] became the first state to enact legislation that prohibits the federal government from forcing its citizens to purchase government-approved health insurance. The measure was sponsored by two Northern Virginians - State Senator Jill Vogel, R-Warrenton, and Del. Bob Marshall, R-Manassas - who also co-signed a Feb. 24 letter to President Obama protesting state legislators’ exclusion from his recent health care summit. ...
Legislators in more than 30 other states are also considering similar bills based on the American Legislative Exchange Council’s Freedom of Choice in Health Care model.
The Tenth Amendment Center has a map of pending health care "nullification" bills that challenge the federal government’s jurisdiction based on its reading of the Constitution.
The REAL ID Act wasn't nullified, because states simply did not implement it (REAL ID was not mandatory). Nullification is an active rejection of federal authority. Virginia is the second state (after Montana) in recent memory to engage in nullification.
This is the week when we shall know whether the federal health care legislation will be signed or not. It all comes down to whether or not Speaker Pelosi can come up with enough votes.