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ACA I, II, III - Why the Affordable Care Act Should Be Repealed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
Public Documents
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November 27, 2012
CMS has issued a request for comments, including a list of questions, on how to redesign health care through the Exchanges. It's under the rubric of Obamacare's "National Quality Strategy" (Section 3011) and it follows the Section 1311 requirement that Exchanges pay health plans more if they improve health outcomes through government reporting, case management, care coordination, chronic disease management, medication and care compliance initiatives, health IT, wellness activities, and reduction of "health disparities." Read the questions for clarity of intrusions to come.
Press Releases
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November 26, 2012
ST. PAUL, Minn. – Wisconsin Governor Scott Walker recently refused implementation of a Wisconsin owned and operated health insurance exchange, citing lack of design freedom and potentially undisclosed costs to taxpayers as impetus for his refusal. His decision letter to U.S. Department of Health and Human Services Secretary Kathleen Sebelius noted that Wisconsin is already able to provide healthcare to 90 percent of its citizen population without an exchange, and the new system would not improve coverage for state citizens.
There are at least 15 reasons to oppose Obama's Health Insurance Exchanges (HIX). A few are:
1) Exchanges are the "federal takeover centers" of Obamacare
2) Exchanges are a national registration and enforcement system for the IRS.
3) Exchanges will cost states $10 million - $100 million per year in operating costs.
Public Documents
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November 20, 2012
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."
Press Releases
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November 19, 2012
ST. PAUL, Minn. – With Friday’s deadline for states to declare their intentions with regard to implementing an Obamacare health insurance exchange past, several states agreed to allow the U.S. Department of Health and Human Services to come into the state and “partner” with state officials in order to create a health insurance exchange. States like North Carolina, Arkansas, and Illinois will pursue such partnerships, seemingly unaware of the power they have handed to the federal government.
Public Documents
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November 19, 2012
On November 15, Texas Governor Rick Perry wrote a letter to HHS Secretary Kathleen Sebelius refusing to install the Obamacare exchange: "It is clear there is no such thing as a state exchange. Instead, this is a federally mandated exchange with rules dictated by Washington...the notion of a state exchange is merely an illusion...Our state will not be a party to helping facilitate the taxastion of millions of Texans, at an unknown cost, to implement bad public policy."
Projects
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November 16, 2012
Press Releases
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November 12, 2012
ST. PAUL, Minn. – By Friday, November 16, 2012, each state has been asked to submit, in writing, their intention with regard to a state health insurance exchange as outlined in the Obamacare plan. To date, three states have told the U.S. Department of Health and Human services, or HHS, that they will not implement an exchange, and with good reason. Public exchanges are cost prohibitive, with an estimated price tag of anywhere between $10 and $100 million per year to operate.
National Reports
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November 08, 2012
Use this list to contact your governor, asking him or her not to commit to any kind of Obamacare health insurance exchange. More information can be found here, including our 15 reasons to oppose the exchange.
Press Releases
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November 07, 2012
ST. PAUL, Minn. – With the election behind us and President Obama elected to a second term in office, it is clear that his administration will be emboldened to finish the implementation of his quintessential first-term “achievement,” Obamacare, regardless of the cost, problems, or irreversible – and potentially devastating – changes it forces on the landscape of American medicine.