Health Exchanges -Obamacare
"The ACA cannot be implemented without an insurance exchange in each state. It's a go or it's a no-go. It's that simple." - As Robert Laszewski, president of Health Policy and Strategy Associates, Sept 2012, HealthDay.
"The exchange is the foundation of health care...Without these exchanges we're really not going to reform anything." - Terry Gardiner, national policy director for the Small Business Majority in 2010.
ACA I, II, III - Why the Affordable Care Act Should Be Repealed
"Refuse to Enroll" plus Billboard and Bus Shelter Posters
2014 Billboard Campaign
Three Legal Alternatives
** Although exchange supporters encourage insured individuals and families to try to find lower-cost taxpayer-subsidized coverage on the government exchange, there is no reason to change coverage if an individual or family currently has private health insurance that meets federal requirements.
9 Exemptions and 14 Hardship Waivers - Obamacare Mandate
Hardship Exemption Information:

Qualifications for Exemption from ACA Mandate
Application for Hardship Exemption to ACA Mandate
Health Insurance Exchanges - Top Ten Terribles
15 REASONS: Oppose Obamaʼs Health Insurance Exchanges
CCHF mailed letters to all 50 Governors asking them to refuse to set up a state-based federal exchange (Florida letter as example)
Private Health Insurance Exchanges
MN EXCHANGE DOCUMENTS - contracts, letters, rejection letter
FEDERAL EXCHANGE DOCUMENTS (limited list) - letters from Congress and Federal Departments
Press Releases
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January 07, 2013
The U.S. Department of Health and Human Services set forth four new Obamacare regulations that totaled more than 700 pages during the holiday season and allowed for only 30 days of public review and comment. A majority of public comments on these bills – totaling more than 80 percent on one regulation – insisted that the HHS extend the review and comment period to 90 days to allow for adequate review and public feedback.
National Reports
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December 19, 2012
New CCHF chart showing the annual operating costs each state would have to pay to manage a state-managed, state-funded federal exchange under Obamacare. If you have data or information you believe to be an update from the data on the chart, please feel free to send it to CCHF with the url citation.
Press Releases
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December 17, 2012
The U.S. Department of Health and Human Services (HHS) is petitioning the American public for comment on a total of six new regulations related to the Patient Protection and Affordable Care Act, commonly referred to as the ACA law. Two regulations have an adequate amount of time to read, understand, and comment on the proposed regulations, but four, including the 373-page the “Head Tax” rule that adds a monthly fee to all insurance premiums to cover the cost of individuals with pre-existing conditions, have only a 30-day window for public comment, and the timeframe falls over the winter holidays that include Chanukah, Christmas, Kwanzaa, and New Year’s. The four bills total nearly 750 pages of regulation, clearly a large amount to read, absorb, and understand in thirty days.
Public Comments
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December 14, 2012
The Obama administration has given you just 30 days over the holidays to read more than 700 pages of proposed Obamacare regulations which could then be finalized and have the full force and effect of law. The Wall Street Journal says “many of the rules were approved in-house and ready to go as early as May.” But the Obama administration waited until the holiday season to spring them you.
eNews Commentary
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December 12, 2012
Obamacare creates a privacy nightmare. Have you heard of the "HUB"? Last week in the USA Today, two authors laid out the national database being built by the Obama administration as part of Obama's federal exchange system. This is the "Federal Data Services Hub " (HUB). Back to eNews.
Public Documents
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December 11, 2012
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.
Public Documents
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December 11, 2012
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)
Press Releases
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December 10, 2012
The new, extended deadline for states to declare their intentions with regard to a state health insurance exchange is December 14, by which time HHS has asked states to declare whether they intend to shoulder the responsibility of creating and operating an ACA health insurance exchange in their state. Costs are determined by a state’s population and the anticipated usage of the Exchange, with costs estimated to be between $15 million for very small states with low populations, to upwards of $300 million for heavily populated states like California. The costs are not only staggering, but could decimate the budgets and financial standing of states already struggling under a difficult economy.
Public Comments
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December 06, 2012
Ask for an extension of the 30-day public comment period on four proposed Obamacare regulations. Below is a comment you can use. It’s easy! Just go to each of the 4 the websites listed below, paste your comment in the “Type Comment” field, provide your country, state, zip code and category -- and CLICK “SUBMIT.”
Federal Reform
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December 03, 2012