Action Alerts

NewTake Action - Ask Congress Now

Urgent: Act Now!

Don't be a bystander -- contact your Members of Congress on these three troubling proposals! Congress is in recess and Members won't return until September 9th, 2019. Now is the best time to contact your U.S. Senators and Representatives.

Sample Letter - Medicare For All is a Bad Idea

Act Now!

Write a letter to the editor and help protect our health freedom!  Sen. Bernie Sanders and others want to endanger the doctor-patient relationship and diminish the quality of care we receive in the exam room.  Will you help us stop it?  SAMPLE LETTER:

TOMORROW - Big Business Wants Your Medical Records!

Act Today! MN Senate File 1575 allows corporations to claim your medical records as their own!  With your calls, emails, or written testimony, we can stop this bill at the MN legislative hearing tomorrow afternoon, Tuesday, March 12. Join us at the hearing if you can! Contact committee members and your MN state senator TODAY to oppose SF 1575, which allows the powerful business community to access and use your medical records to control the exam room—and pursue profits. Will you help us stop them?

Amicus Briefs

Texas v. The United States

Citizens’ Council for Health Freedom joins with the Association of American Physicians and Surgeons, to ask the U.S. Court of Appeals for the Fifth Circuit to affirm the invalidation of the Affordable Care Act (ACA).

Matt Sissel v Department of Health and Human Services, et al

Citizens’ Council for Health Freedom joins with the Association of American Physicians and Surgeons, and individual physicians to ask the U.S. Supreme Court to hear Matt Sissel v. Department of Health and Human Servs, et al, a case opposing the delete and replace actions of the US Senate in the creation of the Affordable Care Act. 

Center for Competitive Politics v. Kamala D. Harris, Attorney General of California

Citizens’ Council for Health Freedom joins with 57 non-profit organizations to ask the U.S. Supreme Court to hear Center for Competitive Politics v. Kamala D. Harris, Attorney General of California, a case opposing the demand by the Attorney General of California that nonprofits file an un-redacted copy of Schedule B to Internal Revenue Service Form 990, thus forcing the groups to disclose the names and addresses of the organizations

Articles/Letters Published

Burdensome Regulations Pushing Doctors Out of Medicine

According to a recent study from the Association of American Medical Colleges (AAMC), the nation may face a shortage of nearly 122,000 physicians by 2032, Healthcare Dive has reported.

Will Trump Give Americans the Freedom to Opt-Out of Medicare?

Medicare is failing.  The recent Medicare Trustees report warns Congress that the hospitalization part of the “Medicare Trust Fund” (which exists only on paper) will be depleted in 2026. In seven short years, there will no longer be any surplus funds allotted to Medicare Part A (hospitalization), and payroll taxes will be insufficient to cover the full cost of care.

Perspective of Former Canadian Physician

It is basic economics that since a single payer system of health care has zero attached costs at the point of service, the system is overrun with demand for care. Since no government on earth can finance infinite demand for anything, the inevitable occurs and the government must ration care.  In Canada, rationing is done in a covert manner by limiting medical resources.

CCHF Analyses of Legislation

Real ID

Letter to the Editor printed in the Minneapolis StarTribune on 5-19-16 written by Twila Brase, CCHF President, regarding Minnesota REAL ID legislation

You Can Still Fly - REAL ID Rule

From the Federal Register January 9, 2008 Rules and Regulations:

"DHS notes that individuals without a REAL ID-compliant document will still be able to enter Federal facilities and board commercial aircraft, and these rules cannot determine what alternative documents are acceptable for those purposes."


State to State Data Sharing - The Law

REAL ID Law:  Electronic Access to State Motor Vehicle Databases


CCHF Obamacare Briefs

Will You Be Exempt from the Individual Mandate?


Comment online: (IRS REG-148500-12)

Starting on page 8 of the 73-page proposed IRS rule to implement the mandate:

"[The federal health care reform law] provides that an individual is exempt for a month for which the individual lacks access to affordable minimum essential coverage... 

CCHF Statements

Trump signs EO - Will Negatively Impact Patient Privacy and Autonomy

ST. PAUL, Minn.—President Donald Trump signed an executive order this afternoon that aims to increase transparency surrounding the health care system’s “opaque prices,” Politico reported. 

House Vote to Support a National Patient ID would be the End of Privacy

ST. PAUL, Minn.— In an amendment Wednesday night to H.R. 2740, the U.S. House of Representatives voted to eliminate the longstanding prohibition against funding a national patient ID, essentially a national tracking number to link all medical records together, requiring the ID for access to care (“no card, no care”). A stalwart advocate for patient privacy, Citizens’ Council for Health Freedom (CCHF, is deeply concerned about this reality.   

CCHF Applauds Court Ruling on Retention of Newborn DNA in MI

ST. PAUL, Minn.— Citizens’ Council for Health Freedom (CCHF,, the organization that discovered state storage of newborn DNA in Minnesota in 2003, called on Minnesota’s governor to destroy stored newborn DNA in July 2007 and pulled Minnesota parents together in March, 2009 for the first lawsuit filed in the nation, applauds yesterday’s federal appeals court ruling on retention and use of newborn DNA in Michigan.  



Real ID Compliant and Non-Compliant States

Alternative Payment Models Diagram - Manatt

Alternative Payment Models (APMs), under the 2010 Obamacare law and the 2015 GOP “Doc Fix” bill (MACRA), are altering physician practice. The goal of government officials and health plan executives is to pay doctors for “value,” not their time or their services. The CMS Innovation Center has initiated most of the APMs listed in the diagram below, including ACOs and bundled payments. Who Defines “Value” of Care?

Three Legal Alternatives

Twila Brase, patient advocate and co-founder of Citizens’ Council for Health Freedom, says there are better, smarter—and perfectly legal—alternatives to enrolling in Obamacare. Brase offers these three legal alternatives to enrolling in Obamacare:



eNews Commentary

Why Are Republicans Silent on Obamacare Ruling?

Republicans have pushed the mute button. On Friday evening, U.S. District Judge Reed O’Connor in Texas ruled the individual mandate unconstitutional and the ACA "invalid" but many Republicans are quiet as mice.

Prior Authorization Endangers Patients

Why are health plans permitted to tell doctors how to practice medicine?  Have you questioned this dangerous assertion of corporate power over the physician, who has 11 to 15 years of training, or have you just accepted it?

Does Trump Like or Dislike Socialized Medicine?

President Trump’s commentary in USA TODAY against Medicare for All raised hackles in some conservative circles. He seemed to be speaking out of both sides of his mouth on socialized medicine...But it may not be as it seems! See why...


Event Notices

CCHF seeks Communications Director / Manager

Citizens’ Council for Health Freedom (CCHF) seeks a Communications Manager/Director to plan, oversee and execute our communications, marketing and outreach strategy and activities. This person will work closely with CCHF's president, and the State Legislative and Policy Director to maximize the publicity and earned media of each project and initiative.

Job Opening: CCHF Seeks New Team Member!

Citizens' Council for Health Freedom is seeking an Administrative Assistant!   Would you or someone you know be a good fit for our free-market, privacy-protecting health care policy team?  

2019 CCHF Fundraising Celebration Dinner!


Join Us on September 19, 2019: 

"Stopping Single-Payer:  Lessons from Canada"
Richard K. Baker, founder, Timely Medical Alternives, Canada
Thursday, September 19, 2019
Doubletree by Hilton Hotel Minneapolis - Park Place
5:30pm Sponsor Reception; 6:30 Dinner & Program

Federal Laws

10 Reasons to Refuse to Enroll in 2019

President Trump Weakens ACA — Strengthens Freedom

The Trump administration has two exciting new announcements on health care that will enable more freedom, affordability, innovation, and flexibility.

Congress Can Restore Medicare Freedom

CCHF is asking President Trump to remove the instructions that prohibit senior citizens from receiving Social Security retirement benefits if they refuse to enroll in Medicare.

As a result of executive instructions in the SSA POMS (Social Security Administration Procedural Operations Manual System) that were issued by previous administrations without Congressional authority, American senior citizens who refuse to enroll in Medicare Part A (hospitalization) are not allowed to receive Social Security benefits. Furthermore, if they disenroll, they must repay all Medicare and Social Security benefits they've received.

This is not a law or a rule. The executive instructions added to the POMS trap citizens in Medicare and, in most cases, make Medicare the person’s primary insurance even if they have other preferred primary coverage.

President Trump has the executive authority to delete these instructions without approval by Congress. His executive action would:

  • Set up a hedge against the "Medicare for all" proposals
  • Open the markets to lifelong private medical insurance, and
  • Reduce the financial strain on Medicare, which is expected to be insolvent in 2026, according to the 2018 Medicare Trustees report.

Please sign our petition to President Trump to allow senior citizens to voluntarily OPT OUT of Medicare without losing access to their Social Security benefits.

Click here to view more information 
Click here to print a copy of the petition

Federal Reform

Letter to President Trump Re: Surprise Medical Bills

Opioid Crisis Act Letter to Sen. Lamar Alexander

Our organization is writing to you regarding the Opioid Crisis Response Act of 2018 (S. 2680), which was marked up yesterday. On pages 2-3, I detail just some of our concernsregarding the original bill, as the marked-up bill is not yet available, and likely parts or most remain. 

CCHF Letter to Walden, Burgess, & Barton regarding Jessie's Law

We are concerned about the impact of this legislation on patient rights, patient privacy, and patient access to timely and essential medical care. We request that the legislation NOT be passed.

Health Freedom Watch

Making Progress at the Highest Level


Volume 22: Issue 3: 3rd Quarter 2019 

Finding Common Ground Leads to Major Victories


Volume 22: Issue 2: 2nd Quarter 2019 

Defending the Strongest Patient Privacy Law in America


Volume 22: Issue 1: 1st Quarter 2019 

Info Cards/Brochures

HIPAA Info Wallet Card

Business card containing the HIPAA alert information

Privacy & Health Care Reform - 10 Things Patients & Doctors Need to Know

Informational brochure on the impact of Obamacare on patient privacy.

Spread the Word: CCHC Information Cards


Minnesota Documents

MN Individual Insurance Market Becomes Gov't Program

MNSure, the Obamacare exchange website, has announced the stabilization of premium costs due to the new state reinsurance program. They note “costs are decreasing in most cases.” But the costs are not decreasing. They’re being paid for by taxpayers. As this letter shows federal taxes of more than $1 billion will be used to subsidize the entire MN individual market, which has been put into a new subsidized government program called the Minnesota Premium Security Plan.

CCHF Letter to MN Governor and GOP Leadership

Click to read the CCHF letter sent today to Minnesota Governor Mark Dayton and GOP leadership in the MN House and Senate. TOPIC Assent transfers when MN tax-exempt HMOs convert to for-profit corporations

REAL ID Votes - MN Senate 2017

Click on the PDF file to view all the MN SENATE votes this year on REAL ID. Every vote of every Minnesota state Senator is noted.

Minnesota Reports

Let MNCare Provider Tax Expire - THREE PIE CHARTS

The 2% MinnesotaCare provider tax ("sick tax") on all medical services provided in Minnesota is due to sunset on December 31, 2019 (the result of 2011 negotiations with then DFL Governor Mark Dayton and Republicans). Republicans want the tax to expire as scheduled. Democrats want to repeal the expiration and continue to tax the sick. CCHF created THREE DIAGRAMS and a ONE-PAGE OVERVIEW to show how the tax has created a slush fund, with little of the money going to the MNCare program.

MN Legislature is on One-Week Break - Here's What's Happened So Far

We've been busy this session. It's tough keeping track of what legislators are doing that could or will impact your health care freedom! There are lots of bills, unexpected amendments, and procedural surprises.


Why Minnesota Legislature Should NOT Adopt Federal HIPAA No-Consent” Rule for Patient Medical Information 


Model Legislation

Tax-Penalty Prohibited for Failure to Buy Health Insurance - Model Legislation

Although the mandate to purchase health insurance under Obamacare was ruled by the U.S. Supreme Court to be unconstitutional, Chief Justice ruled that the Congress could tax citizens for inactivity -- for failing to purchase government-approved health insurance. State legislatures should now stand up under their 10th Amendment States' Rights authority to prohibit the taxation of their citizens by the IRS for failure to buy health insurance. NOTE: the requirement to register one's health insurance status with the federal government annually will create a national database unlike any ever before created. Every citizen must register every year with the IRS, whether they pay taxes or not.

Exchange Prohibited - Model Legislation

State legislators, individuals are organizations can use this proposed legislation as a template for writing their own legislation to prohibit the implementation of a state-run, federally-run, or federally-facilitated health insurance exchange, as defined in sections 1311 and 1321 of Obamacare, the Patient Protection and Affordable Care Act (Public Laws 111-148 and 111-152). NOTE: The federal law does not require states to implement an exchange, and cannot force state legislatures to build a state-run exchange (unconstitutional commandeering), join in a federally-facilitated exchange (federally-run exchange with facade of state control), or share state data on individuals to allow the operation of a Federal Exchange run by HHS. For more model legislation, click here.

National Reports

Exposing Idemia: The Push for National Biometric IDs in America

Exposing Idemia

The Push for National Biometric IDs in America

Written by Twila Brase and Matt Flanders* 


Capitol Hill Report

Special Report from June 19-23, 2017 in Washington, D.C. 

Profiled from Birth, Vol. 1: Not Just a Birth Certificate

Citizens’ Council for Health Freedom (CCHF,, a Minnesota-based national organization dedicated to preserving patient-centered health care and protecting patient and privacy rights, recently released a new report, called “Not Just a Birth Certificate: How states use birth certificates to collect data, conduct research and warehouse electronic health information.” 


CITIZEN PETITION - Protect Patient Consent Rights

I hereby petition the Minnesota Legislature and Governor Walz to protect my patient privacy & consent rights.

CLICK HERE to sign the Petition


I hereby petition the United States Congress and the Administration of President Donald J. Trump to restore freedom and choice to the Medicare and Social Security programs by allowing citizens to claim social security benefits without a requirement to enroll in Medicare.   Click HERE to sign the petition

Click here to view more information on the link between Medicare and Social Security benefits, and how to restore Medicare freedom

Policy Briefs

State Emergency Health Powers

On October 23, 2001, less than two months after the 9/11 terrorist attack, the U.S. Department of Health and Human Services issued the proposed Model State Emergency Health Powers Act (MEHPA). The proposal was finalized in December 2001. It authorized state health officials and their designees to take control of people, property, health care, communications and more in a public health emergency. State legislatures debated it in 2002, and at least 40 passed some version of it. Most of the public is not aware of these police powers.  For more information go to

HIPAA Action Alert - Refuse to Sign

HIPAA - The Grand Deception

HIPAA does not protect health privacy - use this one-page CCHF document at your clinic and hospital to REFUSE TO SIGN the HIPAA "privacy" form. Contact CCHF for business-card-sized "refuse to sign" forms you can carry in your wallet. For more information, read the CCHF Alert.

MN "Bureaucrats at Bedside" Plan - Q&A

The Minnesota Department of Health (MDH) will designate certain treatment protocols as the MN standard of care. At their own discretion, they will decide which protocols will be called “evidence-based” and approved for use. MDH will collect data on physician adherence to these government-issued protocols and publicly report compliance rates on their website. Physi- cians with low compliance rates may be financially penalized.


"" Billboard

Did you see our recent billboard? Just in time for the MN State Fair, we began our latest action in the national Refuse to Enroll campaign focused on the Minnesota Exchange called MNsure! But if you missed the billboard, you can still be part of the effort!

Support CCHF's "Refuse to Enroll" Counter Campaign!

We need your help right now to defeat President Obama’s government Health Exchanges. It’s simple: Consumers can defeat this key component of Obamacare by simply choosing not to enroll. YOU can help us give consumers the reasons not to choose the Exchange. 


Exchange Opt Out

Public Comments

RFI - Patient Care Over Paperwork

RFI - Patient Care Over Paperwork, submitted August 12, 2019: At the end of the day, we submit that your focus should be this: Give Doctors a Reason to Stay.

CCHF Submits Comments on HIPAA to Federal Government

Dear Secretary Azar,

CCHF has been engaged in a two-decade campaign to inform Americans that despite what they’ve long been told by the news media, government agencies, health plans, legislators, Congress, hospitals, and doctor’s offices: HIPAA is not a privacy rule; HIPAA gives outsiders legal license to share, use, analyze, link, and sell patient data  . . .


CCHF Responds to Request for Information on Direct Provider Contracting Models

CCHF has concerns with the proposed model of Direct Provider Contracting— and its acronym. Many physicians and providers have wisely chosen to move away from insurance contracts. They have also opted out of Medicare/Medicaid to remove federal and other third-party intrusion from their practice. They are third-party- payer free (TPF). The questions and commentary of the RFI propose to intrude into the patient-doctor relationship under the name of “DPC.” The proposal asks “how can a DPC model be designed to attract a wide variety of practices, including small, independent practices, and/or physicians.”


Public Documents

CONGRESS CAN: Restore Healthcare Freedom & Affordability

Restore Affordability
The high-cost of insurance and medical delivery today are a result of heavy third-party involvement in every medical decision...and burdensome regs, reporting, measurement
-  TRUE INSURANCE - Expand/Restore major-medical indemnity policies.

and more...


Claim an Obamacare Exemption to Avoid Penalty

In 2014, 20 million went without insurance, but only 8 million paid the penalty-tax. The remaining 12 million people claimed one of 9 exemptions (which include 14 hardship waivers). Numbers 13 and 14 are fairly broad in scope. More than 600,000 people have avoided the penalty -- and the high-cost, unaffordable premiums -- by joining a health-sharing ministry (Exemption #2). Check them out. Open Enrollment ends on January 31, 2017.

King v. Burwell Supreme Court Decision - The Text

THE RULING: On June 25, interns of news media ran the U.S. Supreme Court ruling on King v. Burwell (Obamacare premium subsidies issued by federal exchange) to waiting reporters. Even though the plain text of the law clearly states that federal premium subsidies can only be issued by an “Exchange established by the State,” the 6-3 ruling, written by Chief Justice John Roberts ignored the Rule of Law and declared subsidies could also be issued by the federal exchange. Justice Scalia’s dissent, which follows Roberts’ ruling in the document, is priceless. Read it here...


Stop Obamacare Insurance Exchanges - CCHF Speech

On September 21, CCHF President gave this speech at the Eagle Forum Council in St. Louis Missouri.

Opposing Obamacare in MN

CCHF President, Twila Brase, joins Michael Cannon from the Cato Institute to speak out in opposition to establishing an Obamacare Health Insurance Exchange in Minnesota. The forum, titled, "Perspectives on Health Insurance Exchanges," was hosted by the Republican Health Care Task Force of the MN GOP at the State Capitol on November 3, 2011.

Medical Privacy Panel Discussion
National Press Club


Testimony on SF 730

(Opioid Stewardship Program / PMP Funding and Fees / Prescription Limits / Law Enforcement / PMP Required Use / Opioid Limits)
MN Senate HHS Finance and Policy Committee
March 15, 2018 


Testimony on HF 1440 (Opioid Stewardship Program)

Submitted Testimony on HF 1440 (Opioid Stewardship Program) MN House HHS Reform Committee
March 15, 2018 


CCHF Testimony on SF 800 (Benson) - HHS Omnibus

Senate File 800 (Benson) – HHS Omnibus
MN Senate Finance Committee

Tuesday, March 29, 2017
Testimony of Twila Brase, President and Co-founder 



TRANSCRIPT: Outside, In: Will Population Health Solve What’s Ailing Our Health Care System?


Politico Panel Discussion – Partial Transcript by CCHF

NOTE: All emphasis ours. Some comments paraphrased or truncated.

Full descriptions and comments found here.

TRANSCRIPT: MN Legislators on Record - NO EHR, NO PENALTY

House of Representatives Floor Session
Friday May 8, 2015
House File 1535
Bill Author: Representative Tara Mack

Transcript of Manny Munson-Regala’s (MN Dept of Health) Response to Chairwoman Rep. Peggy Scott

Civil Law and Data Practices – House of Representatives
Hearing on “Protecting Medical Privacy in Minnesota”
Tuesday, February 17, 2015
Transcribed by Matt Flanders, CCH Freedom