Prescription for Disaster

States Can Improve Their Business Climate by Rejecting Establishment of ObamaCare Exchange

Monday, April 23, 2012

Are there many ways that a state could shield businesses in their state from an onerous, job killing tax penalty? In most cases - no. But in the case of ObamaCare the answer is a definitive "yes!!!"

ObamaCare seeks to have states set up insurance exchanges or government controlled "markets" whereby federal subsidies are dolled out so that people can buy heavily regulated, government approved health insurance. According to this article from The Wall Street Journal, if a state establishes an exchange, ObamaCare allows the subsidies to be given out (see Section 1311). If a state refuses to set up an exchange, the federal government will do so but ObamaCare does not permit any subsidies for people who access the federal exchanges (see Section 1321). 

So, a state that takes a pass on establishing an exchange (as many states have chosen to do) is effectively telling the feds, "we aren't going to spend state tax dollars to do your dirty work - have at it." But here is where a state that decides to take a pass can really benefit that state's economy. Under ObamaCare, if someone receives an exchange subsidy, their employer is subject to a penalty under ObamaCare but if no employees receive a subsidy employers are not subject to the penalty. Get it? The bottom line is that states can protect job creators from onerous federal taxes if they refuse to create and set up an ObamaCare insurance exchange. That is a significant incentive for states to protect their economy and jobs. The alternative is to create an exchange, letting the penalty kick in, resulting in fewer businesses and fewer jobs which will create a double-whammy for state taxpayers. Taxpayer will have to foot the bill to deal with the further strain on a state's social safety net resulting from higher unemployment and would end up footing the bill to finance a system to hand out federal bennies.  A bad deal all around for states, employers, employees and taxpayers.

Read more about this here.

Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC


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HHS Issues Exchange Regulations

Tuesday, March 13, 2012
Yesterday, the Obama Administration issued the long-awaited and overdue regulations related to the creation of ObamaCare insurance exchanges (a copy of the regulations can be found here). The regulations were met with criticism from Virginia Governor Bob McDonnell on behalf of the Republican Governor's Association which echoed concerns AHEC has been raising about the idea of exchanges for more than a year. 

The RGA press release on the subject had this to say:

“Once again, the Obama administration has overpromised, oversold and under-delivered, this time with regards to granting states the flexibility needed to establish and maintain health insurance exchanges. The regulations issued today by the Department of Health and Human Services extend the federal government’s reach into the states and will cost the states millions of dollars annually to operate. This Administration’s inability to provide critical guidance to their broken healthcare reform mandate gives more and more credence to the necessity of the Supreme Court ruling this law unconstitutional.”

The pre see release also pointed out the following shortcomings of the regulations:

  • No clarity on what benefit mandates will be imposed on states
  • No clarity on cost-sharing
  • No clarity on risk adjustment and reinsurance
  • No clarity on the federal health insurance exchange that would be forced upon states if they refuse to implement the law
  • No clarity regarding who will pay for a federal health insurance exchange
  • No clarity on “partnership exchanges”
AHEC again renews its call for states to forego the creation of a state exchange (like Florida and Louisiana have decided to do). This is the only way that states can avoid being saddled with future mandates and burdens of ObamaCare.

Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC


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HHS Issues Exchange Regulations

Tuesday, March 13, 2012
Yesterday, the Obama Administration issued the long-awaited and overdue regulations related to the creation of ObamaCare insurance exchanges (a copy of the regulations can be found here). The regulations were met with criticism from Virginia Governor Bob McDonnell on behalf of the Republican Governor's Association which echoed concerns AHEC has been raising about the idea of exchanges for more than a year. 

The RGA press release on the subject had this to say:

“Once again, the Obama administration has overpromised, oversold and under-delivered, this time with regards to granting states the flexibility needed to establish and maintain health insurance exchanges. The regulations issued today by the Department of Health and Human Services extend the federal government’s reach into the states and will cost the states millions of dollars annually to operate. This Administration’s inability to provide critical guidance to their broken healthcare reform mandate gives more and more credence to the necessity of the Supreme Court ruling this law unconstitutional.”

The pre see release also pointed out the following shortcomings of the regulations:

  • No clarity on what benefit mandates will be imposed on states
  • No clarity on cost-sharing
  • No clarity on risk adjustment and reinsurance
  • No clarity on the federal health insurance exchange that would be forced upon states if they refuse to implement the law
  • No clarity regarding who will pay for a federal health insurance exchange
  • No clarity on “partnership exchanges”
AHEC again renews its call for states to forego the creation of a state exchange (like Florida and Louisiana have decided to do). This is the only way that states can avoid being saddled with future mandates and burdens of ObamaCare.

Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC


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HHS Issues Exchange Regulations

Tuesday, March 13, 2012
Yesterday, the Obama Administration issued the long-awaited and overdue regulations related to the creation of ObamaCare insurance exchanges (a copy of the regulations can be found here). The regulations were met with criticism from Virginia Governor Bob McDonnell on behalf of the Republican Governor's Association which echoed concerns AHEC has been raising about the idea of exchanges for more than a year. 

The RGA press release on the subject had this to say:

“Once again, the Obama administration has overpromised, oversold and under-delivered, this time with regards to granting states the flexibility needed to establish and maintain health insurance exchanges. The regulations issued today by the Department of Health and Human Services extend the federal government’s reach into the states and will cost the states millions of dollars annually to operate. This Administration’s inability to provide critical guidance to their broken healthcare reform mandate gives more and more credence to the necessity of the Supreme Court ruling this law unconstitutional.”

The pre see release also pointed out the following shortcomings of the regulations:

  • No clarity on what benefit mandates will be imposed on states
  • No clarity on cost-sharing
  • No clarity on risk adjustment and reinsurance
  • No clarity on the federal health insurance exchange that would be forced upon states if they refuse to implement the law
  • No clarity regarding who will pay for a federal health insurance exchange
  • No clarity on “partnership exchanges”
AHEC again renews its call for states to forego the creation of a state exchange (like Florida and Louisiana have decided to do). This is the only way that states can avoid being saddled with future mandates and burdens of ObamaCare.

Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC


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Utah Senate Ignores Jurisdictional Rules to Push Socialized Medicine

Thursday, March 01, 2012
The Desert News is reporting that a Utah Senate bill to create a health care compact was transferred out of the committee of proper jurisdiction - the Health and Human Services Committee - and into a workforce services committee. Rumors had been circulating that the members of the HHS committee (which tend to be more involved in state health care policy) were not supportive of the bill. 

The effort to move the bill and ignore jurisdictional rules is a political shenanigan similar to how the U.S. of House of Representatives passed ObamaCare. The citizens deserve better than this kind of legislative process. The bill should be considered in regular order, by the committee of proper jurisdiction - AND NOT in a manner that deprives citizens of the knowledge that their legislature's actions were on the up and up.


Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC

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Senate Republicans Weigh in and File Amicus Brief in ObamaCare Lawsuit

Tuesday, February 14, 2012
Forty-three Senate Republicans signed onto an Amicus Brief filed with the Supreme Court in response to the multi-state lawsuit challenging the constitutionality of ObamaCare.  Excerpts from the brief include:

  • “Put simply, Congress acted without constitutional authority in enacting the Individual Mandate of the PPACA. In so doing, it has damaged Congress’ institutional legitimacy and has triggered severe conflicts between state and federal governments that the Constitution was carefully designed to avert.”
  • “Because the Individual Mandate regulates a simple decision or choice not to purchase a particular product, it exceeds the proper scope of the Commerce Clause.”

The amicus brief was signed by:Sen. Mitch McConnell (R-KY), Sen. Orrin Hatch (R-UT), Sen. Lamar Alexander (R-TN), Sen. Kelly Ayotte (R-NH), Sen. John Barrasso (R-WY), Sen. Roy Blunt (R-MO), Sen. John Boozman (R-AR), Sen. Richard Burr (R-NC), Sen. Saxby Chambliss (R-GA), Sen. Daniel Coats (R-IN), Sen. Tom Coburn (R-OK), Sen. Thad Cochran (R-MS), Sen. Susan Collins (R-ME), Sen. Bob Corker (R-TN), Sen. John Cornyn (R-TX), Sen. Mike Crapo (R-ID), Sen. Jim DeMint (R-SC), Sen. Michael Enzi (R-WY), Sen. Chuck Grassley (R-IA), Sen. Dean Heller (R-NV), Sen. John Hoeven (R-ND), Sen. Kay Bailey Hutchison (R-TX), Sen. James Inhofe (R-OK), Sen. Johnny Isakson (R-GA), Sen. Mike Johanns (R-NE), Sen. Ron Johnson (R-WI), Sen. Jon Kyl (R-AZ), Sen. Mike Lee (R-UT), Sen. Richard Lugar (R-IN), Sen. John McCain (R-AZ), Sen. Jerry Moran (R-KS), Sen. Lisa Murkowski (R-AK), Sen. Rand Paul (R-KY), Sen. Rob Portman (R-OH), Sen. James Risch (R-ID), Sen. Pat Roberts (R-KS), Sen. Marco Rubio (R-FL), Sen. Richard Shelby (R-AL), Sen. Olympia Snowe (R-ME), Sen. John Thune (R-SD), Sen. Pat Toomey (R-PA), Sen. David Vitter (R-LA), Sen. Roger Wicker (R-MS).

Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC 


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Sen. Hatch Makes Several Good Points About the Real Costs of ObamaCare

Friday, January 13, 2012

Senator Orrin Hatch (R-UT) made several good points about the real cost of ObamaCare, including:

  • $2,100 increase in premiums for families buying insurance on their own due to ObamaCare. (Letter from the Congressional Budget Office to Senator Evan Bayh regarding health care premiums, November 30, 2009)
  • 65 percent of small businesses say it does nothing to slow down the cost of health insurance – the primary cost driver facing our nation’s job creators despite President Obama’s pledge to reduce premiums for American families by $2,500. (National Federation of Independent Business (NFIB) Foundation Study, July 2011)
  • 77 percent of small businesses say it will increase taxes which in turn will directly affect their ability to create jobs. (National Federation of Independent Business (NFIB) Foundation Study, July 2011)
  • Insurance premiums have increased by almost 200 percent from 3 percent in 2010 to 9 percent in 2011 for families since the passage of the partisan health law. (Annual employer health benefits survey conducted by the Kaiser Family Foundation and the Health Research & Educational Trust, September 27, 2011)
  • 9.4 percent increase in private health insurance premiums in 2014 (4.4 percentage points higher than without the health law). (“National Health Spending Projections Through 2020: Economic Recovery And Reform Drive Faster Spending Growth,” Health Affairs, July 28, 2011)
  • The cost of health care will continue to rise from 8 percent in 2011 to 8.5 percent in 2012. (Pricewaterhouse Coopers Health Research Institute Study, Medical Cost Trends for 2012)
  • $311 billion projected increase in health costs due to ObamaCare. (Report from Richard S. Foster, Chief Actuary at the Centers for Medicare & Medicaid Services, April 22, 2010)
  • The President's own Chief Actuary stated that savings from the health law’s programs, estimated by the Administration to be $50 billion over 10 years, are 'unlikely.' (Letter from Richard S. Foster, Chief Actuary at the Centers for Medicare & Medicaid Services, September 2, 2011)
  • $118 billion in new costs imposed on states for ObamaCare's Medicaid expansions—budgetary costs that will crowd out other state programs like education or law enforcement. (Joint Report by the Senate Finance Committee and House Energy and Commerce Committee, Medicaid Expansion in the New Health Law: Costs To The States, March 1, 2011)

Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC


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Thirty-Six Senate Republicans File Amicus Brief on ObamaCare

Monday, January 09, 2012
Thirty-Six Senate Republicans filed an amicus brief with the Supreme Court in favor of the states' lawsuit against ObamaCare.  The brief argues that: 

“This Court must defer to this clear expression of Congress’ intent regarding the role of the individual mandate… To maintain the Constitution’s balance, this Court cannot ignore Congress’ determination as to what is essential to the PPACA’s scheme and leave in place a statute Congress would not—and did not—enact.”

“If Congress intended for the PPACA to survive without the individual mandate, it could have protected its major legislative reform simply by including a clause which would have guided this Court and resulted in a strong presumption of severability – a clause which was already before it in a prior version of the PPACA. Congress did not do so.

“Under these circumstances, this Court cannot leave a patchwork alternative to the PPACA in place without the heart of the legislation. Rather, such a determination must be left to the elected representatives of the people.”

The brief was signed by: Sen. Kelly Ayotte (R-NH), Sen. John Barrasso (R-WY), Sen. Roy Blunt (R-MO), Sen. John Boozman (R-AR), Sen. Richard Burr (R-NC), Sen. Saxby Chambliss (R-GA), Sen. Daniel Coats (R-IN), Sen. Tom Coburn (R-OK), Sen. Thad Cochran (R-MS), Sen. Susan Collins (R-ME), Sen. John Cornyn (R-TX), Sen. Mike Crapo (R-ID), Sen. Michael Enzi (R-WY), Sen. Chuck Grassley (R-IA), Sen. Orrin Hatch (R-UT), Sen. Dean Heller (R-NV), Sen. John Hoeven (R-ND), Sen. Kay Bailey Hutchison (R-TX), Sen. James Inhofe (R-OK), Sen. Johnny Isakson (R-GA), Sen. Mike Johanns (R-NE), Sen. Ron Johnson (R-WI), Sen. Jon Kyl (R-AZ), Sen. Mike Lee (R-UT), Sen. Richard Lugar (R-IN), Sen. John McCain (R-AZ), Sen. Mitch McConnell (R-KY), Sen. Lisa Murkowski (R-AK), Sen. Rand Paul (R-KY), Sen. James Risch (R-ID), Sen. Pat Roberts (R-KS), Sen. Marco Rubio (R-FL), Sen. Richard Shelby (R-AL), Sen. Olympia Snowe (R-ME), Sen. John Thune (R-SD), Sen. Pat Toomey (R-PA).

Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC.

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Hatch Schools IRS on How to Interpret and Implement the Law

Friday, December 02, 2011

In response to the revelation that the Obama Administration and the IRS have decided to ignore federal law and extend ObamaCare exchange subsidies to federal exchanges in the event a state does not set up an exchange (federal law only permits subsidies for state-established exchanges), Republican Senator Orrin Hatch (Utah) wrote the following to Department of Treasury and IRS officials: “The legislative function, under the Constitution, is exclusively granted to Congress. This excessive use of regulatory authority is only the continuation of a trend by the Treasury Department and the IRS of violating the constitutional principle of separation of powers by usurping Congress’ exclusive role in law-making."

As Hatch's press release explains, "Under the $2.6 trillion health law, Americans purchasing coverage through the new health insurance exchanges can receive tax credits and subsidies to offset the cost of being mandated to buy health insurance. However, the language of the relevant law (Section 36B) limits the premium assistance to state run exchanges. The IRS has proposed a new rule to expand the premium assistance to include federal exchanges. If implemented, these regulations would alter the impact of the new law without the approval of Congress."

Hatch continued in his letter to the Administration: “I would suggest that the failure to draft this language differently was the result of the highly partisan nature by which PPACA was pushed through Congress,” wrote Hatch. “Whatever the case, if the wording and effect of section 36B should somehow be different, then legislation is the appropriate means of changing section 36B.”

The decision by "Pay-No-Taxes" Treasury Secretary Timothy Geithner to ignore the exchange subsidy requirement of federal law is not the first controversial action taken by Obama Administration officials in direct contradiction of ObamaCare.  HHS Secretary Kathleen Sebelius also ignored the clear wording of the statute when she unlawfully gave herself the authority, through HHS regulations, to issue waivers from ObamaCare's minimum coverage provisions. ObamaCare does not allow the Secretary to issue waivers. Like the IRS and the subsidies, she gave herself that authority.

This is a clear pattern by the Administration to ignore the limits of federal law, such as ObamaCare, even when the law itself is an unprecedented expansion of government power that itself ignores the Constitution. When Congress ignores the Constitution to legislate and the Executive Branch ignores the law to implement, we no longer are a free republic but a nation governed by tyrants and despots. 

Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC.


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States May Oppose ObamaCare, But they are Lining Up for ObamaCare's Cash

Wednesday, November 30, 2011

CQ Healthbeat is reporting that nearly every state is taking ObamaCare cash - including those that are fighting the law in court. This reeks of hypocrisy on the part of Republican Governors and state legislators who have authorized the states to fight ObamaCare in the courts. Taking money appropriated by a law that one believe's is unconstitutional is not just hypocrisy, it is a betrayal of the very people who elected you to fight for their freedoms. Reports are that the following states accepted money:

• Alabama, $8.5 million
• Arizona, $29.8 million
• Delaware, $3.4 million
• Hawaii, $14.4 million
• Idaho, $20.3 million
• Iowa, $7.7 million
• Maine, $5.8 million
• Michigan, $9.8 million
• Nebraska, $5.4 million
• New Mexico, $34.2 million
• Tennessee, $1.5 million
• Vermont, $18 million
• Rhode Island, $58.5 million

Today, CMS announced that it had doled out nearly $200 million to 13 states to establish ObamaCare exchanges and released a series of Questions and Answers about the Exchange money.

Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC.


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