February 4, 2010 5:58 PM

States Push Bills Banning Health Reform

(AP)  Although President Barack Obama's push for a health care overhaul has stalled, conservative lawmakers in about half the states are forging ahead with constitutional amendments to ban government health insurance mandates.

The proposals would assert a state-based right for people to pay medical bills from their own pocketbooks and prohibit penalties against those who refuse to carry health insurance.

In many states, the proposals began as a backlash to Democratic health care plans pending in Congress. But instead of backing away after a Massachusetts election gave Senate Republicans the filibuster power to halt the health care legislation, many state lawmakers are ramping up their efforts with new enthusiasm.

Special Report: Health Care Reform

The moves reflect the continued political potency of the issue for conservatives, who have used it extensively for fundraising and attracting new supporters. The legal impact of any state measures may be questionable because courts generally have held that federal laws trump those in states.

Lawmakers in 34 states have filed or proposed amendments to their state constitutions or statutes rejecting health insurance mandates, according to the American Legislative Exchange Council, a nonprofit group that promotes limited government that is helping coordinate the efforts. Many of those proposals are targeted for the November ballot, assuring that health care remains a hot topic as hundreds of federal and state lawmakers face re-election.

Legislative committees in Idaho and Virginia endorsed their measures this past week. Supporters held a rally at the Pennsylvania Capitol. And hearings on the proposed constitutional amendments were held in Georgia and Missouri. The Missouri hearing drew overflow crowds the day after Obama urged federal lawmakers during his State of the Union address to keep pressing to pass a health care bill. The Nebraska Legislature plans a hearing on a measure this coming week.

Supporters of the state measures portray them as a way of defending individual rights and state sovereignty, asserting that the federal government has no authority to tell states and their citizens to buy health insurance.

"I think the alarm bell has been rung," said Clint Bolick, the constitutional litigation director at the Goldwater Institute in Phoenix, which helped craft an Arizona amendment on this November's ballot that has been used as a model in other states.

"These amendments are a way to manifest grass roots opposition" to federal health insurance mandates, Bolick said. "They kind of have a life of their own at this point. So while some of the pressure may be off, I think that this movement has legs."

Separate bills passed by the U.S. House and Senate would impose a penalty on people who don't have health insurance except in cases of financial hardship. Subsidies would be provided to low-income and middle-income households. The intent of the mandate is to expand the pool of people who are insured and paying premiums and thus offset the increased costs of insuring those with preexisting conditions or other risks.

The federal bills also would require many businesses to pay a penalty if they fail to provide employees health insurance that meets certain standards, though details and exemptions vary between the House and Senate versions.

Obama and Democratic legislative leaders were working to merge the two bills when Republican Scott Brown won the Massachusetts Senate seat long held by the late Edward M. Kennedy on Jan. 19, leaving Democrats one seat shy of the number needed to break a Republican filibuster.

Since then, the federal legislation has been in limbo. But state lawmakers have not.

"We need to move ahead no matter what kind of maneuvering continues in Washington, D.C.," said Missouri Sen. Jane Cunningham, a Republican from suburban St. Louis.

Since suffering resounding defeats in the 2008 elections, Republicans have seized upon voter unease over the federal health care legislation to help revitalize their fortunes.

A USA Today/Gallup poll conducted the day after the Massachusetts vote found that about 55 percent of respondents — including a majority of self-described independents — favored putting the breaks on the current health care legislation. The poll had a margin of error of plus or minus 4 percentage points.

State laws or constitutional amendments clearly could bar lawmakers in those states from requiring individuals to purchase health insurance, such as Massachusetts has done. But it's questionable that such the measures could shield state residents from a federal health insurance requirement.

"They are merely symbolic gestures," said Michael Dorf, a constitutional law professor at Cornell University. "If this Congress were to pass an individual mandate, and if it is constitutional — which I believe it is — the express rule under the supremacy clause (of the U.S. Constitution) is that the federal law prevails."

Many Democratic lawmakers are skeptical of both the intent and the effect of the state measures, entitled in many states as the "Freedom of Choice in Health Care Act." Some have derided it as "political theater" or an attempt to merely shape the public debate.

"We need to do something about health care," said Idaho Rep. Phylis King, a Boise Democrat. "And the federal government is trying to do something. It hurts our companies and it hurts our people to be uninsured."

© 2010 The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.
Add a Comment See all 12 Comments
by likeitbe February 2, 2010 12:13 AM EST
Obama's "Health Care Plan" has degenerated into a simple mandate that everyone buy insurance. It is nothing at all like what he propsoed as a candidate. Everyone realizes that all Obama wants is something..anything that he can call a "Health Care Bill" regardless of whether it makes any sense.

This is about saving face, not a about health care.
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by steeepe February 2, 2010 4:51 PM EST
You can't lower premiums unless everyone participates. If you only have the sick or at risk in the plan, the cost will remain sky high. Does your state force you to carry auto insurance if you have a car?
by steeepe February 1, 2010 6:10 PM EST
It's also hilarious that the stupid tea-baggers shout about getting the government out of health care but don't seem to mind that insurance bureaucrats determine what their doctors can and cannot do.
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by Brokennews February 1, 2010 4:00 PM EST
Obama received $20 million from healthcare industry in 2008 campaign

http://rawstory.com/2010/01/obama-received-20-million-healthcare-industry-money-2008/

http://seminal.firedoglake.com/diary/23765




And you dimwits blame Repubs for the healthcare reform debacle???

Obama was bought long ago and is now repaying his industry masters.

For a group of people that Obama ripped on during the campaign, he sure did like their money!! Only total tools keep on saying it's all the Repubs fault that health-care reform is failing. Have you bothered to look & see how many Dems are against the bill too? (At least those that haven't been bought off yet.) They will never hold Obama accountable for anything.
Personally, I think that there are only a handful of Repubs in the nation that are worth the paper that a vote is cast on, but that's still a higher number from what I see in Dems lately.
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by info-hunter February 1, 2010 2:22 PM EST
The retardlicans are protecting their rich palls and the insurance company milk cows that have made them rich. Gread, gread and more gread, how do you animals sleep at night. We are the richest country in the world and are the worst at taking care of its citizens. Our health is being held for ransom. If we can't pay up we are as good as dead. If we can sell all of the posessions we have worked our whole lives to aquire and go in debt for the rest of our families lives we may stand a chance and in doing so we put our families out of their homes and leave them owing bills they will not be able to pay. This is not what I want to leave my family and I do not think leaving my family forever in debt so as to keep some rich person flush with new mansions and private islands is the American way though it is the republican way. The retardlican montra is all for the rich as they are the only ones that deserve it. Trickle down "the urine trickeling down the faces of the working class and their families". God Bless America and the working families that make it great! Good luck to us all. (>^o^)> <(^0^)> <(^0^<)
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by stormerF2 February 1, 2010 1:34 PM EST
I do not blame the Backlash for a government to mandate you must have health care insurance and buy it from them or be fined is pure Communism. Freedom of choice to buy across state lines and from whom you wish just like car insurance is the most appealing way. That way if you don't want car insurance,don't own a car..Otherwise it is like the government making you buy car insurance when you do not own a car,but others do they just can not afford to buy insurance for it..
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by ianlou February 1, 2010 2:34 PM EST
That's fine. But how do you avoid eventually landing in the hospital?
You can't avoid life like you can avoid owning a car.

If you crash your car without insurance, it's your tough luck.
Should we adopt the same policy at our Emergency Rooms?

My low life welfare hating redneck republican brother-in-law can't stand the idea of being forced to do anything the Democrats tell him.

His kids are covered by CHIP, and he uses the ER, for free, anytime he really needs care. He works under the table so, on paper, he can pretend he is poor.

He vehemently denies that his family recieves a form of welfare because he is not black and he has a job.

This country is full of idiots like this,
and they are all looking forward to joining the militant branch of the Tea Party.
by starving1968-2 February 1, 2010 1:20 PM EST
That's fine.

Just let it be known that when these people can't afford their medical bills, that the states themselves are going to have to foot the cost - NOT the federal government.
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by steeepe February 1, 2010 12:50 PM EST
It will be amusing to see what happens to poor, unemployed conservatives when their insurance gets cancelled or their premiums equal rent or mortgage payments, when they get sick and cannot afford health care or have pre-existing conditions or get dropped by insurance companies after a big claim. I wonder if they will be crowing about freedom then. Maybe they will want freedom from medical bankruptcy or freedom from sickness, but in their dog-eat-dog world, the poor and sick get left by the side of the road to die. Why should they care? They've got theirs...
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by jimbom121 February 1, 2010 1:23 PM EST
Amazing that the states with the highest unemployment and highest w/o healthcare are the ones fighting this.
by jxknowles February 1, 2010 12:31 PM EST
So are they saying, they don't want Medicare? If that's the case, we can close the budget deficit and make Medicare financially sound. Let's shut down Social Security in those states as well. I'm all for it.
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by jimbom121 February 1, 2010 12:23 PM EST
So let me get this straight, these states woud rather have their won people suffer than create a better system. If states had done what Massachusetts has aleady done, then this wouldn't be necessary...but of course they haven't.
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