Obamacare requires States to set up federal command and control centers over health insurance and medical care. These centers are called "American Health Benefit Exchanges" or "Health Insurance Exchanges" for short. The data infrastructure will monitor citizen compliance with the unconstitutional mandate to purchase health insurance. The first set of federal exchange regulations include the word "require" 811 times. The Minnesota legislature said "no" to the Exchange, but Governor Dayton is using more than $5 million from the federal government to build it.
National Health Systems
A lawsuit has unexpectedly revealed Obama's rationing plans. The Administration says states can cut Medicaid payments to doctors and other providers to hold down costs. This is a breathtaking statement. President Obama's signature law, Obamacare, adds 16 million people to Medicaid. It offers states the "opportunity" to expand Medicaid at no cost for the first two years, and then offers to pay 90% of the cost in perpetuity of all individuals eligible under the expansion. The law also increases payment to primary care doctors for two years to encourage them to accept more Medicaid patients.
On November 16, Wisconsin Governor Scott Walker sent a letter to Secretary Sebelius saying, "...we have determined Wisconsin will not develop a partnership or state-based exchange."
Some State legislators believe a federally-approved Exchange established by the State will be better than a federally- imposed Exchange established by the Secretary of Health and Human Services (HHS). However, the federal law makes it clear that every Exchange must conform to federal requirements, including pending regulations. Thus, a “State Exchange” is actually an imposed Federal Exchange. Some might call it a "lobster trap" for States - once in, there's no getting out.
The Enroll UX 2014 Design Specifications Manual reviewed by and designed with three federal agencies (CMS, ONCHIT, CCIIO) for health insurance exchanges as discussed at the MN Health Insurance Exchange marketing workgroup, July 10, 2012.
Actions speak louder than words. Who was President Obama trying to convince otherwise in his inaugural speech? ... Obama quoted our founding documents. He attested their significance. He even mentioned "Republic" once. Three times he mentioned "founding" (founding creed, founding principles, founding documents). Five times he said, "We the people." And although he referenced Newtown, he never mentioned his 23 executive orders on guns, mental health or curtailing the Second Amendment.
The gloves are coming off. We're 11 months from full implementation and the real-world impact of Obamacare is hitting the newswires. Taco Bell and Wendy's just cut the hours of hundreds of employees to avoid the Obamacare employer health insurance mandate.
The Centers for Medicare and Medicaid Services answered a few questions in a FAQ (Frequently Asked Questions) about how the intrusive centeralized ACA database -- the federal data services hub (HUB) -- will work. They include a comment that all states must use, connect to and share data with the HUB for Medicaid even if the state refuses to expand Medicaid under the ACA.
Nevada's Silver State Health insurance Exchange sent a 26 page document of questions to HHS, including on the illusive FEDERAL DATA SERVICES HUB. In their introductory statement, they note, "The Centers for Medicare and Medicaid Services (CMS) [Center for Consumer Information and Insurance Oversight (CCIIO)] has issued multiple proposed, interim final and final regulations to implement the ACA. However, complete guidance has not yet been issued....Questions, concerns and confirmation requests are provided in bold text. The number of asterisks indicates the priority of the questions. Items with five asterisks need to be answered within a month so that Nevada can maintain the implementation deadline..." (Questions about the federal data services HUB begin on page 10)