The automakers resisted adding smog equipment (which did increase costs), but that battle is already lost. They already make exclusively 49- and 50-state emissions legal vehicles.
This is the state that wants to revoke healthcare from victims of automobile accidents ( http://www.mlive.com/lansing-news/index.ssf/2015/04/senate_c... ). Automobile manufacturers and related industry still controls most of the state.
It's hard to overstate how small the chance of smog checks happening in Michigan is.
http://www.dmv.org/insurance/medical-payments-coverage.php
So would many people see a drop in coverage? Probably. Would people be able to obtain medical coverage for injuries resulting from a car accident? Almost certainly.
(My ill informed cynical assumption is that insurers are funding the push to change the system, with the expectation that they will be able to profit more under the proposed changes)
The problem is you can drive a vehicle that's burning coolant or oil and just spewing a cloud behind it and nothing is really stopping you. I'm not sure if you can actually get a ticket for it or not.
The thing is, living in Michigan, I notice a lot more older carburated trucks than I do smoking modern vehicles...
Yeah, there are less, but on a summer weekend in Southern California you can expect fumes from a number of car-culture enthusiasts and their cars.
My favorite : Carbureted rotaries. The smell of unbalanced air-fuel ratio plus the smell of motor oil being burned in combustion. It's like the two-stroke of the streets. Even better when it has lost a coolant seal and you get that nice sticky white-blue coolant component to the noxious cloud left behind.
Pre '75 there was nothing to control oxides of nitrogen, which smell pretty awful, and combustion was never clean enough back then to control volatiles and hydrocarbons. I think all they had were secondary air injection, which was prone to failure and subsequent removal
You may not remember the smell, but do you remember the color of the L.A. skyline?
Emissions standards for new vehicles is regulated by the EPA.