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.

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States Should Reject Health Insurance Exchanges

Friday, March 23, 2012
The Daily Caller has a great explanation of why states should reject the establishment of ObamaCare health insurance exchanges. NIcole Kaeding writes:

One of the most important issues facing states this legislative session is whether to create a health care exchange to implement the president’s health care law. States are being tempted by words like “flexibility” and very large grants from the Department of Health and Human Services (HHS) to gain their compliance, but states that value health care freedom should resist and refuse to implement Obama’s health care exchanges.

Health care exchanges organized voluntarily by market participants are something that conservatives could support. Exchanges should function as a free-market mechanism allowing consumers to make informed health care purchasing decisions in a simple, innovative and transparent manner. Yet, the exchanges as created by Obamacare and HHS fail to meet this most basic standard.

These exchanges pile thousands of pages of rules, regulations and mandates on each state’s insurance markets, harming competition and consumers. Forcing insurers to provide “essential health benefits” under “qualified health plans” with little to no cost-sharing does nothing but raise premiums, a fact even acknowledged by Obamacare’s chief architect, economist Jonathan Gruber. According to a study of the Wisconsin insurance market authored by Gruber, Obamacare will push up individual premiums by an average of 30% in the Badger State.

Conservative proponents of state exchange creation, like David Merritt here at The Daily Caller, argue that states will have “flexibility” if they create exchanges themselves. A review of the facts show this statement doesn’t pass the laugh test.

Read the full article here.


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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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Obama Wants to Slash Health Care for Military

Wednesday, February 29, 2012
According to a post at Big Government, the Obama Administration is poised to push military servicemen and women into ObamaCare's exchanges by making their current healthcare program unaffordable. This idea is particularly grievous because military personal often have special health care needs (such as rehabilitation, occupational therapy and prosthetic assistance) as a result of war wounds. To push them into a civilian system is to effectively deny our nation's wounded warriors the help they deserve.

Here is what Big Government had to say:

The Obama Administration plans to force active duty service members and veterans off the military’s current health care plan, Tricare, and into ObamaCare’s state-run healthcare exchanges by increasing Tricare premiums between 30 percent to 78 percent the first year and a crushing 94 percent to 345 percent every five years thereafter.

By squeezing service members and veterans out of Tricare and into ObamaCare through significantly higher Tricare premiums, the Obama Administration believes it can pinch $1.8 billion from Tricare in fiscal 2013 and $12.9 billion by 2017.

By comparison, Mr. Obama spent $20.5 billion on his Department of Energy green energy grants and loans program, 80 percent of which went to companies owned or tied to Mr. Obama’s top fundraisers.

You can read the full post here.

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

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Feds Lack Money to Set up Federal ObamaCare Exchanges

Monday, February 20, 2012
Michael Cannon of Cato breaks down the facts that the federal government currently lacks the funds necessary to set up federal exchanges. As he explains, the Republican-controlled House of Representatives is unlikely to provide extra funding to HHS to allow them to set up the exchanges. Without the exchanges, ObamaCare cannot take root - especially when so many states are unwilling to set up the state-based exchanges.

UPDATE:
It looks as if Oregon is another state that will not be setting up a state ObamaCare exchange. Read more here.

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

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Colleges Sue Federal Government Over Abortion Mandates

Monday, December 26, 2011
Colorado Christian University is suing the federal government over a federal government mandate that requires businesses that provide insurance coverage for employees to also buy coverage that includes abortifacients. The suit is in response to a federal government mandate issued by HHS Secretary Kathleen Sebelius last summer that requires insurers to cover "preventative services" without any copays. The morning after pill and ella are among those "services." 

The college is contending this violates their rights to free speech and freedom of religion. The lawsuit contends that: "The government’s mandate unconstitutionally coerces Colorado Christian to violate its deeply-held religious beliefs under threat of heavy fines and penalties."

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

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States that Want to Oppose ObamaCare Must First Oppose the Exchanges

Tuesday, December 20, 2011
A new article explains that the strategy of states to oppose ObamaCare by opposing establishing a health insurance exchange is a winning strategy. ObamaCare seeks to have states establish "exchanges" whereby the ObamaCare's entitlement subsidies would be doled out. States are being asked to set up the exchanges (and fund them with only minimal federal assistance dollars) even before the feds tell the states all the rules that will come with the federal money. The feds strategy is one that is designed to get the states to jump before they even know how the proverbial cliff is.

Many states - Alaska, Florida and Louisiana have flat out refused to create an exchange. The Michigan House recently killed funding for the creation of an exchange. What is the fallback? Under ObamaCare, if a state fails to set up an exchange, the feds can set one up in the state.  But that is proving to be no small feat. Many states that are working to set up exchanges don't have the right technology infrastructure, the feds have yet to define the essential benefits package that states must offer and it is completely unclear about whether states or the feds will have the ultimate control over the exchanges (given how the feds have engaged in power grab after power grab with respect to health care over the past 50 years, my guess is the feds will use the ObamaCare funding to grab away state power).

Opponents of ObamaCare see a winning strategy in opposing the establishment of the exchanges in the states - a strategy they believe can ultimately prove to be ObamaCare's undoing. Other less thoughtful people on the issue of healthcare see no problem with setting up the exchanges. For example, Leo Linbeck III who is pushing the health care compact (he says to rid states of the federal monopoly over healthcare) has said: "And there are some good ideas embedded in the bill. The idea of health insurance exchanges... is not all bad. It’s essentially an attempt at a market solution." Linbeck's naiveté and ignorance over how ObamaCare works and how it is being implemented would be cute if it wasn't so dangerous. To accept the exchanges is to fully embrace ObamaCare, its co-opting of state budgets and state autonomy, and the looming fiscal crisis ObamaCare represents to the states. 

No one who understands how the federal government has operated in the field of healthcare in grabbing control over the states could rightly support the exchanges. This raises the question about why people like Linbeck are pushing the compact. If they know so little about ObamaCare how are they remotely positioned to design an effective strategy to undermine the law (as Linbeck says the HCC is designed to do). This suggests Linbeck has motives other than undermining ObamaCare (which could be why he is involved in a primary accountability effort to unelect the very Republicans who will be necessary to repeal ObamaCare in 2013).

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


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Michigan House Rejects ObamaCare Exchanges

Monday, December 19, 2011
According to The Detroit Free Press, the Michigan legislature voted against funding the creation of an ObamaCare exchange in the state. A spokesman for House Speaker Glen Bolger stated it was "premature to set up any health insurance exchange in Michigan" until the U.S. Supreme Court decides on whether ObamaCare is constitutional. 

The State Legislature should be commended for their action - they clearly understand that the federal government is trying to induce states to set up, fund and implement the exchanges all BEFORE the feds tell the states what the rules will be for how the states must operate the exchange in order for people to get ObamaCare insurance subsidies. Simply put, the feds are hoping states will blindly set up exchanges and then the feds can co-opt the exchanges with a heavy-handed, top-down set of federal rules. States would have no ability to stand up to the feds at that point because, in some states, millions of people would have no access to insurance if the states insisted upon operating the exchange free of federal intrusion.

Foolishly, Michigan's novice Governor, Rick Snyder, has said he supports setting up a state controlled exchange. So too does Michigan's Director of Licensing and Insurance Regulation, Steve Hilfinger. What these naive individuals think is that they can maintain leverage against the feds by implementing ObamaCare now. The best way to maintain the state's leverage is to wait - as the House has wisely chosen to do. 

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

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