how states can stop obamacare: handbook for state legislators
TRANSCRIPT
8132019 How States Can Stop Obamacare Handbook for State Legislators
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HOW STATES CAN STOP
THE AFFORDABLE CARE
ACT
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8132019 How States Can Stop Obamacare Handbook for State Legislators
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n the Fall of 2013 Tea Party groups across the
country organized a rally in Washington DC
that was billed as ldquothe last chance to stop
ObamaCarerdquo The rally focused on
communicating to federal politicians particularly
those in the purse-string holding House of
Representatives that it was time to take action
and defund the fabulously mislabeled Affordable
Care Act
Despite the efforts of its organizers the rallyfailed Congress caved and ObamaCare was
launched The ensuing fallout has been
spectacular as insurance companies have
canceled policies while rates and deductibles
have skyrocketed Even the programrsquos website
has been a total debacle adding some comedic
relief to the unfurling tragedy So now that the
ldquolast chancerdquo effort has failed is there nothing
that can be done
With respect to the people involved the rally was
not the last chance to stop ObamaCare not by a
long shot In fact it should be seriously
reconsidered whether or not addressing this
problem in Washington DC was the best
strategy in the first place The reality is that the states hold the power in
their hands to mark the ACA as ldquoDOArdquo ndash Dead onArrival
Specifically there are four steps that the states
can take to halt the enforcement of ObamaCare
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First ban state enforcement of and participation
in ObamaCare Without the support of the
states the ACA is a dead letter Letrsquos face it the
federal government canrsquot even operate a website
State non-cooperation is not only on sound legal
footing (under the anti-commandeering doctrine
discussed later) it would ldquogut Obamacarerdquo as
Judge Andrew Napolitano put it on Fox News in
December 2013
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Second reject Medicaid expansion within the
states One of the primary ways that the
Democrats planned to pay for ObamaCare was to
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8132019 How States Can Stop Obamacare Handbook for State Legislators
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expand Medicaid at the state level This was
supposed to account for $2 trillion in new
entitlement spending in the first 10 years But 25
states have rejected Medicaid expansion
effectively defunding a quarter of the new
spending Furthermore this action by the states
has made the bill less popular among health care
providers who will now be denied the subsidies
that they were promised in return for their
support
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Third states should protect their residents fromthe ObamaCare insurance mandate tax The
mandate is truly the most monstrous feature of
the health care law because it financially
penalizes individuals who either donrsquot want
insurance or canrsquot afford it But the states can
take steps to protect their citizens from the
mandate through several avenues
States can for example create a tax rebate for
any resident who incurs a penalty (or tax
whatever the feds prefer to call it) under
ObamaCare While this wouldnrsquot stop the penalty
from being assessed at the federal level it would
help effectively nullify its impact on the individual
citizens of a state
The states can also prohibit city and county clerks
and state-chartered banks from enforcing any
IRS liens resulting from nonpayment of the
ObamaCare tax Furthermore states that did not set up a state
run exchange under the Affordable Care Act can
actually block the ObamaCare tax by suspending
the licenses of insurance companies that accept
the subsidies that come with the law
Since no insurer would risk losing their business
by accepting the subsidies not a single employer
in the state could be assessed the employer-
mandate taxes that those subsidies trigger
8132019 How States Can Stop Obamacare Handbook for State Legislators
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The fourth step is to challenge the IRSrsquos illegal
ObamaCare taxes Thirty-four states havebanned the creation of state-run exchanges
under the ACA This is problematic for
ObamaCare because the act authorizes subsidies
only through state-established exchanges not
exchanges created by the federal government So by refusing to create state-based exchanges
those 34 states have effectively defunded one-
third of the $2 trillion in entitlement spending
Additionally since it is only through the subsidies
that tax penalties are triggered under the
employer and individual mandates these 34
states have exempted their employers and
residents from the tax
Unsurprisingly the fact that these states havenrsquot
complied hasnrsquot stopped the federal government
from attempting to enforce the mandate taxes
and issue the subsidies To combat this illegal maneuver state attorneys
general employers school districts and individual
taxpayers have already filed at least four lawsuits
challenging the taxes These legal challenges will
be even more problematic for the implementation
of ObamaCare when additional employers and
state politicians follow suit
States should work to legislatively ban state
operation of the exchanges if they are currently in
operation or only not in operation due to an
executive orderaction
983107983119983118983107983116983125983123983113983119983118
Following these four steps at the state level is an
effective path to stopping Obamacare withoutrelying on the federal government to rein in its
own power
If recent history is any guide federal politicians
canrsquot be trusted to repeal terrible
unconstitutional legislation no matter which
party is in power
But if the states reassert their constitutional right
to resist federal acts the Affordable Care Act can
easily be rendered null and void The People of the states should encourage their
state and local representatives to follow the
examples of those states which have already
introduced this legislation and follow these four
steps to stop Obamacare
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In the next section of this handbook you will
learn about the sound constitutional and legal
basis upon which this state-level strategy is
based on
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8132019 How States Can Stop Obamacare Handbook for State Legislators
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983113983118
ost Americans believe that the federal
government stands absolutely
supreme
Nobody can question its dictates Nobody can
refuse its edicts Nobody can resist its
commands
This is simply not true
Laws passed in pursuance of the Constitution do
stand as the supreme law of the land But that
doesnrsquot in any way imply the federal government
lords over everything and everybody in America
First off as James Madison asserted
in Federalist 45 the powers of the federal
government are ldquofew and definedrdquo
So federal power actually extends into only a few
spheres Most power and authority was left to
the states and the people
Second even within those areas that the federal
government does exercise authority it cannotforce state or local governments to cooperate in
enforcement or implementation The feds must
exercise their authority on their own unless the
state and local governments choose to assist
Simply put the federal government cannot force
state or local governments to act against their
will
This is known as the anti-commandeeringdoctrine and it is well established in
constitutional jurisprudence
Four Supreme Court opinions dating back to 1842
serve as the foundation for this legal doctrine
983107983105983123983109983098 983120983122983113983111983111 983158983086 983120983109983118983118983123983129983116983126983105983118983113983105
In Prigg v Pennsylvania (1842) Justice Joseph
Story held that the federal government could notforce states to implement or carry out the
Fugitive Slave Act of 1793 He said that it was a
federal law and the federal government
ultimately had to enforce it
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M
991260983124983144983141 983155983156983137983156983141983155 983139983137983150983150983151983156983084
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983085983114983157983155983156983145983139983141 983114983151983155983141983152983144 983123983156983151983154983161983084 983120983154983145983143983143 983158 983120983141983150983150983155983161983148983158983137983150983145983137
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983156983144983141 983140983157983156983145983141983155 983151983142 983156983144983141 983150983137983156983145983151983150983137983148
983143983151983158983141983154983150983149983141983150983156 983150983151983159983144983141983154983141 983140983141983148983141983143983137983156983141983140 983151983154
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983107983105983123983109983098 983118983109983127 983129983119983122983115 983126983123 983125983118983113983124983109983108 983123983124983105983124983109983123
In the early 90s the state of New York sued the
federal government asserting provisions in the
Low-Level Radioactive Waste Policy
Amendments Act of 1985 were coercive and
violated its sovereignty under the Tenth
Amendment The Court majority in New York v
United States (1992) agreed holding that
ldquobecause the Actrsquos take title provision offers theStates a lsquochoicersquo between the two
unconstitutionally coercive alternativesndasheither
accepting ownership of waste or regulating
according to Congressrsquo instructionsndashthe provision
lies outside Congressrsquo enumerated powers and is
inconsistent with the Tenth Amendmentrdquo
Sandra Day OrsquoConnor wrote for the majority in the
6-3 decision
983105983155 983137983150 983145983150983145983156983145983137983148 983149983137983156983156983141983154 983107983151983150983143983154983141983155983155 983149983137983161
983150983151983156 983155983145983149983152983148983161 991260983139983151983149983149983137983150983140983141983141983131983154983133 983156983144983141
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983140983145983154983141983139983156983148983161 983139983151983149983152983141983148983148983145983150983143 983156983144983141983149 983156983151 983141983150983137983139983156
983137983150983140 983141983150983142983151983154983139983141 983137 983142983141983140983141983154983137983148 983154983141983143983157983148983137983156983151983154983161
983152983154983151983143983154983137983149991261
She later expounded on this point
983127983144983145983148983141 983107983151983150983143983154983141983155983155 983144983137983155 983155983157983138983155983156983137983150983156983145983137983148
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983157983152983151983150 983107983151983150983143983154983141983155983155 983156983144983141 983137983138983145983148983145983156983161 983156983151 983154983141983153983157983145983154983141
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983107983151983150983143983154983141983155983155991257 983145983150983155983156983154983157983139983156983145983151983150983155
OrsquoConnor argues that standing alone both
options offered to the State of New York for
dealing with radioactive waste in the act
represented an unconstitutional overreach
Therefore forcing the state to choose between
the two is also unconstitutional
983105 983139983144983151983145983139983141 983138983141983156983159983141983141983150 983156983159983151
983157983150983139983151983150983155983156983145983156983157983156983145983151983150983137983148983148983161 983139983151983141983154983139983145983158983141
983154983141983143983157983148983137983156983151983154983161 983156983141983139983144983150983145983153983157983141983155 983145983155 983150983151 983139983144983151983145983139983141 983137983156
983137983148983148 983109983145983156983144983141983154 983159983137983161 991260983156983144983141 983105983139983156
983139983151983149983149983137983150983140983141983141983154983155 983156983144983141 983148983141983143983145983155983148983137983156983145983158983141
983152983154983151983139983141983155983155983141983155 983151983142 983156983144983141 983123983156983137983156983141983155 983138983161 983140983145983154983141983139983156983148983161
983139983151983149983152983141983148983148983145983150983143 983156983144983141983149 983156983151 983141983150983137983139983156 983137983150983140
983141983150983142983151983154983139983141 983137 983142983141983140983141983154983137983148 983154983141983143983157983148983137983156983151983154983161
983152983154983151983143983154983137983149991261
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 715
983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983094
983107983105983123983109983098 983120983122983113983118983124983130 983158983086 983125983118983113983124983109983108 983123983124983105983124983109983123
Printz v United States (1997) serves as the
modern lynchpin for the anti-commandeering
doctrine At issue was a provision in the Brady
Gun Bill that required county law enforcement
officers to administer part of the background
check program
Sheriffs Jay Printz and Richard Mack sued
arguing these provisions unconstitutionally
forced them to administer a federal program
Justice Antonin Scalia agreed writing in the
majority opinion ldquoit is apparent that the Brady Act
purports to direct state law enforcement officers
to participate albeit only temporarily in the
administration of a federally enacted regulatory
schemerdquo
Citing the New York case the court majority
declared this provision of the Brady Gun Bill
unconstitutional expanding the reach of the anti-
commandeering doctrine
983127983141 983144983141983148983140 983145983150 983118983141983159
983129983151983154983147 983156983144983137983156 983107983151983150983143983154983141983155983155
983139983137983150983150983151983156 983139983151983149983152983141983148 983156983144983141
983123983156983137983156983141983155 983156983151 983141983150983137983139983156 983151983154
983141983150983142983151983154983139983141 983137 983142983141983140983141983154983137983148983154983141983143983157983148983137983156983151983154983161 983152983154983151983143983154983137983149
983124983151983140983137983161 983159983141 983144983151983148983140 983156983144983137983156
983107983151983150983143983154983141983155983155 983139983137983150983150983151983156
983139983145983154983139983157983149983158983141983150983156 983156983144983137983156
983152983154983151983144983145983138983145983156983145983151983150 983138983161
983139983151983150983155983139983154983145983152983156983145983150983143 983156983144983141 983123983156983137983156983141983155991257
983151983142983142983145983139983141983154983155 983140983145983154983141983139983156983148983161
983124983144983141 983110983141983140983141983154983137983148 983111983151983158983141983154983150983149983141983150983156 983149983137983161 983150983141983145983156983144983141983154
983145983155983155983157983141 983140983145983154983141983139983156983145983158983141983155 983154983141983153983157983145983154983145983150983143 983156983144983141 983123983156983137983156983141983155983156983151 983137983140983140983154983141983155983155 983152983137983154983156983145983139983157983148983137983154 983152983154983151983138983148983141983149983155 983150983151983154
983139983151983149983149983137983150983140 983156983144983141 983123983156983137983156983141983155991257 983151983142983142983145983139983141983154983155 983151983154
983156983144983151983155983141 983151983142 983156983144983141983145983154 983152983151983148983145983156983145983139983137983148 983155983157983138983140983145983158983145983155983145983151983150983155
983156983151 983137983140983149983145983150983145983155983156983141983154 983151983154 983141983150983142983151983154983139983141 983137 983142983141983140983141983154983137983148
983154983141983143983157983148983137983156983151983154983161 983152983154983151983143983154983137983149 983113983156 983149983137983156983156983141983154983155 983150983151983156
983159983144983141983156983144983141983154 983152983151983148983145983139983161983149983137983147983145983150983143 983145983155 983145983150983158983151983148983158983141983140
983137983150983140 983150983151 983139983137983155983141983085983138983161983139983137983155983141 983159983141983145983143983144983145983150983143 983151983142 983156983144983141
983138983157983154983140983141983150983155 983151983154 983138983141983150983141983142983145983156983155 983145983155 983150983141983139983141983155983155983137983154983161983099
983155983157983139983144 983139983151983149983149983137983150983140983155 983137983154983141 983142983157983150983140983137983149983141983150983156983137983148983148983161
983145983150983139983151983149983152983137983156983145983138983148983141 983159983145983156983144 983151983157983154 983139983151983150983155983156983145983156983157983156983145983151983150983137983148983155983161983155983156983141983149 983151983142 983140983157983137983148 983155983151983158983141983154983141983145983143983150983156983161
983107983105983123983109983098 983118983110983113983106 983158983086 983123983109983106983109983116983113983125983123
Finally the Court held that the federal
government cannot force the states to act
against their will by withholding funds in a
coercive manner
In Independent Business v Sebelius (2012) the
Court held that the federal government can not
compel states to expand Medicaid by threatening
to withhold funding for Medicaid programs
already in place
991260983107983151983150983143983154983141983155983155 983139983137983150983150983151983156
983139983151983149983152983141983148 983156983144983141 983123983156983137983156983141983155 983156983151
983141983150983137983139983156 983151983154 983141983150983142983151983154983139983141 983137
983142983141983140983141983154983137983148 983154983141983143983157983148983137983156983151983154983161
983152983154983151983143983154983137983149983086991261
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 815
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 7
Justice Robert Kennedy argued that allowing
Congress to essentially punish states that
refused to go along violates constitutional
separation of powers
983124983144983141 983148983141983143983145983156983145983149983137983139983161 983151983142 983107983151983150983143983154983141983155983155991257983155 983141983160983141983154983139983145983155983141
983151983142 983156983144983141 983155983152983141983150983140983145983150983143 983152983151983159983141983154 991260983156983144983157983155 983154983141983155983156983155 983151983150
983159983144983141983156983144983141983154 983156983144983141 983123983156983137983156983141 983158983151983148983157983150983156983137983154983145983148983161 983137983150983140
983147983150983151983159983145983150983143983148983161 983137983139983139983141983152983156983155 983156983144983141 983156983141983154983149983155 983151983142 983156983144983141
991256983139983151983150983156983154983137983139983156991257 991261 983120983141983150983150983144983157983154983155983156 983155983157983152983154983137 983137983156 17
983122983141983155983152983141983139983156983145983150983143 983156983144983145983155 983148983145983149983145983156983137983156983145983151983150 983145983155 983139983154983145983156983145983139983137983148 983156983151
983141983150983155983157983154983145983150983143 983156983144983137983156 983123983152983141983150983140983145983150983143 983107983148983137983157983155983141
983148983141983143983145983155983148983137983156983145983151983150 983140983151983141983155 983150983151983156 983157983150983140983141983154983149983145983150983141 983156983144983141983155983156983137983156983157983155 983151983142 983156983144983141 983123983156983137983156983141983155 983137983155 983145983150983140983141983152983141983150983140983141983150983156
983155983151983158983141983154983141983145983143983150983155 983145983150 983151983157983154 983142983141983140983141983154983137983148 983155983161983155983156983141983149
983124983144983137983156 983155983161983155983156983141983149 991260983154983141983155983156983155 983151983150 983159983144983137983156 983149983145983143983144983156 983137983156
983142983145983154983155983156 983155983141983141983149 983137 983139983151983157983150983156983141983154983145983150983156983157983145983156983145983158983141 983145983150983155983145983143983144983156
983156983144983137983156 991256983142983154983141983141983140983151983149 983145983155 983141983150983144983137983150983139983141983140 983138983161 983156983144983141
983139983154983141983137983156983145983151983150 983151983142 983156983159983151 983143983151983158983141983154983150983149983141983150983156983155 983150983151983156
983151983150983141991257 991261 983106983151983150983140 564 983125 983123 983137983156 983135983135983135 (983155983148983145983152
983151983152 983137983156 8) (983153983157983151983156983145983150983143 A983148983140983141983150 983158 983117983137983145983150983141
527 983125 983123 706 758 (1999) )
983110983151983154 983156983144983145983155 983154983141983137983155983151983150 991260983156983144983141 983107983151983150983155983156983145983156983157983156983145983151983150 983144983137983155
983150983141983158983141983154 983138983141983141983150 983157983150983140983141983154983155983156983151983151983140 983156983151 983139983151983150983142983141983154
983157983152983151983150 983107983151983150983143983154983141983155983155 983156983144983141 983137983138983145983148983145983156983161 983156983151 983154983141983153983157983145983154983141
983156983144983141 983123983156983137983156983141983155 983156983151 983143983151983158983141983154983150 983137983139983139983151983154983140983145983150983143 983156983151
983107983151983150983143983154983141983155983155991257 983145983150983155983156983154983157983139983156983145983151983150983155991261 983118983141983159 983129983151983154983147
983155983157983152983154983137 983137983156 162
983119983156983144983141983154983159983145983155983141 983156983144983141 983156983159983151983085983143983151983158983141983154983150983149983141983150983156
983155983161983155983156983141983149 983141983155983156983137983138983148983145983155983144983141983140 983138983161 983156983144983141 983110983154983137983149983141983154983155983159983151983157983148983140 983143983145983158983141 983159983137983161 983156983151 983137 983155983161983155983156983141983149 983156983144983137983156 983158983141983155983156983155
983152983151983159983141983154 983145983150 983151983150983141 983139983141983150983156983154983137983148 983143983151983158983141983154983150983149983141983150983156
983137983150983140 983145983150983140983145983158983145983140983157983137983148 983148983145983138983141983154983156983161 983159983151983157983148983140 983155983157983142983142983141983154
983092 983125 983105983123983123
983113983150 983156983144983141983155983141 983142983151983157983154 983139983137983155983141983155 983156983144983141 983123983157983152983154983141983149983141
983107983151983157983154983156 983144983137983155 983144983141983148983140 983139983151983150983155983145983155983156983141983150983156983148983161 983156983144983137983156
983156983144983141 983142983141983140983141983154983137983148 983143983151983158983141983154983150983149983141983150983156 983139983137983150983150983151983156
983139983151983149983152983141983148 983156983144983141 983155983156983137983156983141983155 983156983151 983139983137983154983154983161 983151983157983156
983142983141983140983141983154983137983148 983137983139983156983155
bull 983120983154983145983143983143 1842
bull 983118983141983159 983129983151983154983147 1992
bull 983120983154983145983150983156983162 1997
bull 983118983110983113983106 2012
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 915
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 8
Taken together these four cases firmly establish
a legal doctrine holding that the federal
government has no authority to force states to
cooperate in implementing or enforcing its acts
Legal experts cannot dispute the legitimacy of
this version of nullification through
noncooperation
James Madison himself offered this as the
blueprint for resisting federal power
in Federalist 46
The ldquoFather of the Constitutionrdquo outlined several
steps states can take to stop ldquoan unwarrantable
measurerdquo or ldquoeven a warrantable measurerdquo of
the federal government
Anticipating the anti-commandeering doctrine
Madison advised a ldquorefusal to cooperate with
officers of the Unionrdquo as a way to effectively
thwart federal acts which the people of a state
may see as being either unconstitutional or
merely unpopular
Madisonrsquos blueprint supported by the anti-
commandeering doctrine provides a powerful tool
that states can use to stop unconstitutional
federal acts in their tracks
In fact during the federal government shutdown
the National Association of Governors admitted
ldquoStates are partners with the federal government
in implementing most federal programsrdquo
That means states can create impediments to
enforcing and implementing ldquomost federal
programsrdquo
By simply refusing to provide material support to
the Affordable Care Act states have the power to
render these actions unenforceable
Even the Supreme Court agrees
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1015
983105983118983113 983113983123983105983113983118
Please direct any questions to infotenthamendmentcentercom or call 2139350553
983105983081 983106983105983118 983123983124983105983124983109 983107983119983119983120983109983122983105983124983113983119983118
An Act to ban state enforcement participation or material support with certain
unconstitutional laws enacted by the Congress of the United States taking control over
the health insurance industry and mandating that individuals purchase health insurance
under threat of penalty
SECTION 1 The legislature of the State of ____________ finds that
1 The People of the several states comprising the United States of America created the federal
government to be their agent for certain enumerated purposes and nothing more
2 The Tenth Amendment to the United States Constitution defines the total scope of federal
power as being that which has been delegated by the people of the several states to the federal
government and all power not delegated to the federal government in the Constitution of the
United States is reserved to the states respectively or to the people themselves
3 The assumption of power that the federal government has made by enacting the ldquoPatient
Protection and Affordable Care Actrdquo interferes with the right of the People of the State of _____________ to regulate health care as they see fit and makes a mockery of James
Madisonrsquos assurance in Federalist 45 that the ldquopowers delegatedrdquo to the Federal Government
are ldquofew and definedrdquo while those of the States are ldquonumerous and indefiniterdquo
SECTION 2 NEW LAW PROHIBITION ON ENFORCEMENT PARTICIPATION AND
MATERIAL SUPPORT IN CERTAIN FEDERAL ACTS
A new section of law to be codified in the [STATE] Statutes as Section [NUMBER] of Title
[NUMBER] unless there is created a duplication in numbering reads as follows
A Notwithstanding any law regulation rule or order to the contrary no agency of this state
political subdivision of this state or employee of an agency or political subdivision of this state
acting in his or her official capacity or corporation providing services on behalf of this state or a
political subdivision of this state shall
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1115
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 1
(1) Enforce any federal act law order rule or regulation of the federal government of the United
States designed to give effect to the Patient Protection and Affordable Care Act signed by
President Barack Obama on March 23 2010
(2) Provide material support participation or assistance in any form with any federal agency oremployee engaged in the enforcement of any federal act law order rule or regulation of the
federal government of the United States designed to give effect to the Patient Protection and
Affordable Care Act
(3) Utilize any assets state funds or funds allocated by the state to local entities on or after
(DATE) in whole or in part to engage in any activity that aids a federal agency federal agent
or corporation providing services to the federal government in the enforcement of any federal
act law order rule or regulation of the federal government of the United States designed to
give effect to the Patient Protection and Affordable Care Act
SECTION 3 PENALTIES
A A political subdivision of this state may not receive state grant funds if the political subdivision
adopts a rule order ordinance or policy under which the political subdivision violates Section 2
of this Act State grant funds for the political subdivision shall be denied for the fiscal year
following the year in which a final judicial determination in an action brought under this section is
made that the political subdivision has intentionally required actions which violate the
prohibitions in Section 2 of this Act
B Any agent or employee of this state or of any political subdivision of this state who knowinglyviolates the prohibitions in Section 2 of this act shall be deemed to have resigned any
commission from the State of (STATE) which he or she may possess his or her office shall be
deemed vacant and he or she shall be forever thereafter ineligible to any office of trust honor
or emolument under the laws of this State
C Any corporation or person that provides services to or on behalf of this state and violates the
prohibitions of Section 2 of this act shall be forever ineligible to act on behalf of or provide
services to this state or any political subdivision of this state
SECTION 4 SEVERABILITY
The provisions of this act are severable If any part of this act is declared invalid or
unconstitutional that declaration shall not affect the part which remains
SECTION 5 EFFECTIVE DATE
A This act takes effect upon approval by the Governor
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983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
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983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
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983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983089
n the Fall of 2013 Tea Party groups across the
country organized a rally in Washington DC
that was billed as ldquothe last chance to stop
ObamaCarerdquo The rally focused on
communicating to federal politicians particularly
those in the purse-string holding House of
Representatives that it was time to take action
and defund the fabulously mislabeled Affordable
Care Act
Despite the efforts of its organizers the rallyfailed Congress caved and ObamaCare was
launched The ensuing fallout has been
spectacular as insurance companies have
canceled policies while rates and deductibles
have skyrocketed Even the programrsquos website
has been a total debacle adding some comedic
relief to the unfurling tragedy So now that the
ldquolast chancerdquo effort has failed is there nothing
that can be done
With respect to the people involved the rally was
not the last chance to stop ObamaCare not by a
long shot In fact it should be seriously
reconsidered whether or not addressing this
problem in Washington DC was the best
strategy in the first place The reality is that the states hold the power in
their hands to mark the ACA as ldquoDOArdquo ndash Dead onArrival
Specifically there are four steps that the states
can take to halt the enforcement of ObamaCare
983118983119 983123983124983105983124983109 983107983119983119983120983109983122983105983124983113983119983118
First ban state enforcement of and participation
in ObamaCare Without the support of the
states the ACA is a dead letter Letrsquos face it the
federal government canrsquot even operate a website
State non-cooperation is not only on sound legal
footing (under the anti-commandeering doctrine
discussed later) it would ldquogut Obamacarerdquo as
Judge Andrew Napolitano put it on Fox News in
December 2013
983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
Second reject Medicaid expansion within the
states One of the primary ways that the
Democrats planned to pay for ObamaCare was to
I983113983142 983141983150983151983157983143983144 983155983156983137983156983141983155 983140983151 983156983144983145983155983084
983145983156 983159983151983157983148983140 991260983143983157983156
983119983138983137983149983137983139983137983154983141991261
983085983110983151983160 983118983141983159983155 983123983141983150983145983151983154 983114983157983140983145983139983145983137983148 983105983150983137983148983161983155983156983084 983114983157983140983143983141
983105983150983140983154983141983159 983118983137983152983151983148983145983156983137983150983151
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983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983090
expand Medicaid at the state level This was
supposed to account for $2 trillion in new
entitlement spending in the first 10 years But 25
states have rejected Medicaid expansion
effectively defunding a quarter of the new
spending Furthermore this action by the states
has made the bill less popular among health care
providers who will now be denied the subsidies
that they were promised in return for their
support
983120983122983119983124983109983107983124 983105983111983105983113983118983123983124 983117983105983118983108983105983124983109983123
Third states should protect their residents fromthe ObamaCare insurance mandate tax The
mandate is truly the most monstrous feature of
the health care law because it financially
penalizes individuals who either donrsquot want
insurance or canrsquot afford it But the states can
take steps to protect their citizens from the
mandate through several avenues
States can for example create a tax rebate for
any resident who incurs a penalty (or tax
whatever the feds prefer to call it) under
ObamaCare While this wouldnrsquot stop the penalty
from being assessed at the federal level it would
help effectively nullify its impact on the individual
citizens of a state
The states can also prohibit city and county clerks
and state-chartered banks from enforcing any
IRS liens resulting from nonpayment of the
ObamaCare tax Furthermore states that did not set up a state
run exchange under the Affordable Care Act can
actually block the ObamaCare tax by suspending
the licenses of insurance companies that accept
the subsidies that come with the law
Since no insurer would risk losing their business
by accepting the subsidies not a single employer
in the state could be assessed the employer-
mandate taxes that those subsidies trigger
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983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983091
983107983112983105983116983116983109983118983111983109 983124983112983109 983124983105983128983109983123
The fourth step is to challenge the IRSrsquos illegal
ObamaCare taxes Thirty-four states havebanned the creation of state-run exchanges
under the ACA This is problematic for
ObamaCare because the act authorizes subsidies
only through state-established exchanges not
exchanges created by the federal government So by refusing to create state-based exchanges
those 34 states have effectively defunded one-
third of the $2 trillion in entitlement spending
Additionally since it is only through the subsidies
that tax penalties are triggered under the
employer and individual mandates these 34
states have exempted their employers and
residents from the tax
Unsurprisingly the fact that these states havenrsquot
complied hasnrsquot stopped the federal government
from attempting to enforce the mandate taxes
and issue the subsidies To combat this illegal maneuver state attorneys
general employers school districts and individual
taxpayers have already filed at least four lawsuits
challenging the taxes These legal challenges will
be even more problematic for the implementation
of ObamaCare when additional employers and
state politicians follow suit
States should work to legislatively ban state
operation of the exchanges if they are currently in
operation or only not in operation due to an
executive orderaction
983107983119983118983107983116983125983123983113983119983118
Following these four steps at the state level is an
effective path to stopping Obamacare withoutrelying on the federal government to rein in its
own power
If recent history is any guide federal politicians
canrsquot be trusted to repeal terrible
unconstitutional legislation no matter which
party is in power
But if the states reassert their constitutional right
to resist federal acts the Affordable Care Act can
easily be rendered null and void The People of the states should encourage their
state and local representatives to follow the
examples of those states which have already
introduced this legislation and follow these four
steps to stop Obamacare
983118983109983128983124983098 983124983112983109 983116983109983111983105983116 983106983105983123983113983123
In the next section of this handbook you will
learn about the sound constitutional and legal
basis upon which this state-level strategy is
based on
983124983144983141 983074983137983152983152983154983151983137983139983144 983145983155 983151983150
983155983151983157983150983140 983148983141983143983137983148 983142983151983151983156983145983150983143983074
983085983117983141983154983139983141983154 983125983150983145983158983141983154983155983145983156983161 983148983137983159 983152983154983151983142983141983155983155983151983154 983108983137983158983145983140
983119983141983140983141983148983084 983152983137983154983156 983151983142 983156983144983141 983148983141983143983137983148 983156983141983137983149 983156983144983137983156
983154983141983152983154983141983155983141983150983156983141983140 983111983141983151983154983143983145983137 983145983150 983145983156983155 983139983151983157983154983156 983139983144983137983148983148983141983150983143983141 983156983151
983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156
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983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983092
983105983118983113983085
983105983118983113983118
983113983118
ost Americans believe that the federal
government stands absolutely
supreme
Nobody can question its dictates Nobody can
refuse its edicts Nobody can resist its
commands
This is simply not true
Laws passed in pursuance of the Constitution do
stand as the supreme law of the land But that
doesnrsquot in any way imply the federal government
lords over everything and everybody in America
First off as James Madison asserted
in Federalist 45 the powers of the federal
government are ldquofew and definedrdquo
So federal power actually extends into only a few
spheres Most power and authority was left to
the states and the people
Second even within those areas that the federal
government does exercise authority it cannotforce state or local governments to cooperate in
enforcement or implementation The feds must
exercise their authority on their own unless the
state and local governments choose to assist
Simply put the federal government cannot force
state or local governments to act against their
will
This is known as the anti-commandeeringdoctrine and it is well established in
constitutional jurisprudence
Four Supreme Court opinions dating back to 1842
serve as the foundation for this legal doctrine
983107983105983123983109983098 983120983122983113983111983111 983158983086 983120983109983118983118983123983129983116983126983105983118983113983105
In Prigg v Pennsylvania (1842) Justice Joseph
Story held that the federal government could notforce states to implement or carry out the
Fugitive Slave Act of 1793 He said that it was a
federal law and the federal government
ultimately had to enforce it
983124983144983141 983142983157983150983140983137983149983141983150983156983137983148 983152983154983145983150983139983145983152983148983141 983137983152983152983148983145983139983137983138983148983141
983156983151 983137983148983148 983139983137983155983141983155 983151983142 983156983144983145983155 983155983151983154983156 983159983151983157983148983140 983155983141983141983149 983156983151
983138983141 983156983144983137983156 983159983144983141983154983141 983156983144983141 983141983150983140 983145983155 983154983141983153983157983145983154983141983140
983156983144983141 983149983141983137983150983155 983137983154983141 983143983145983158983141983150983099 983137983150983140 983159983144983141983154983141 983156983144983141983140983157983156983161 983145983155 983141983150983146983151983145983150983141983140 983156983144983141 983137983138983145983148983145983156983161 983156983151
983152983141983154983142983151983154983149 983145983156 983145983155 983139983151983150983156983141983149983152983148983137983156983141983140 983156983151 983141983160983145983155983156
983151983150 983156983144983141 983152983137983154983156 983151983142 983156983144983141 983142983157983150983139983156983145983151983150983137983154983145983141983155 983156983151
983159983144983151983149 983145983156 983145983155 983141983150983156983154983157983155983156983141983140 983124983144983141 983139983148983137983157983155983141 983145983155
983142983151983157983150983140 983145983150 983156983144983141 983150983137983156983145983151983150983137983148 983107983151983150983155983156983145983156983157983156983145983151983150
983137983150983140 983150983151983156 983145983150 983156983144983137983156 983151983142 983137983150983161 983155983156983137983156983141 983113983156 983140983151983141983155
M
991260983124983144983141 983155983156983137983156983141983155 983139983137983150983150983151983156983084
983156983144983141983154983141983142983151983154983141983084 983138983141 983139983151983149983152983141983148983148983141983140
983156983151 983141983150983142983151983154983139983141991270991261
983085983114983157983155983156983145983139983141 983114983151983155983141983152983144 983123983156983151983154983161983084 983120983154983145983143983143 983158 983120983141983150983150983155983161983148983158983137983150983145983137
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983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
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In the early 90s the state of New York sued the
federal government asserting provisions in the
Low-Level Radioactive Waste Policy
Amendments Act of 1985 were coercive and
violated its sovereignty under the Tenth
Amendment The Court majority in New York v
United States (1992) agreed holding that
ldquobecause the Actrsquos take title provision offers theStates a lsquochoicersquo between the two
unconstitutionally coercive alternativesndasheither
accepting ownership of waste or regulating
according to Congressrsquo instructionsndashthe provision
lies outside Congressrsquo enumerated powers and is
inconsistent with the Tenth Amendmentrdquo
Sandra Day OrsquoConnor wrote for the majority in the
6-3 decision
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983152983154983151983143983154983137983149991261
She later expounded on this point
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OrsquoConnor argues that standing alone both
options offered to the State of New York for
dealing with radioactive waste in the act
represented an unconstitutional overreach
Therefore forcing the state to choose between
the two is also unconstitutional
983105 983139983144983151983145983139983141 983138983141983156983159983141983141983150 983156983159983151
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983152983154983151983143983154983137983149991261
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 715
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Printz v United States (1997) serves as the
modern lynchpin for the anti-commandeering
doctrine At issue was a provision in the Brady
Gun Bill that required county law enforcement
officers to administer part of the background
check program
Sheriffs Jay Printz and Richard Mack sued
arguing these provisions unconstitutionally
forced them to administer a federal program
Justice Antonin Scalia agreed writing in the
majority opinion ldquoit is apparent that the Brady Act
purports to direct state law enforcement officers
to participate albeit only temporarily in the
administration of a federally enacted regulatory
schemerdquo
Citing the New York case the court majority
declared this provision of the Brady Gun Bill
unconstitutional expanding the reach of the anti-
commandeering doctrine
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Finally the Court held that the federal
government cannot force the states to act
against their will by withholding funds in a
coercive manner
In Independent Business v Sebelius (2012) the
Court held that the federal government can not
compel states to expand Medicaid by threatening
to withhold funding for Medicaid programs
already in place
991260983107983151983150983143983154983141983155983155 983139983137983150983150983151983156
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8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 815
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Justice Robert Kennedy argued that allowing
Congress to essentially punish states that
refused to go along violates constitutional
separation of powers
983124983144983141 983148983141983143983145983156983145983149983137983139983161 983151983142 983107983151983150983143983154983141983155983155991257983155 983141983160983141983154983139983145983155983141
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527 983125 983123 706 758 (1999) )
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983155983157983152983154983137 983137983156 162
983119983156983144983141983154983159983145983155983141 983156983144983141 983156983159983151983085983143983151983158983141983154983150983149983141983150983156
983155983161983155983156983141983149 983141983155983156983137983138983148983145983155983144983141983140 983138983161 983156983144983141 983110983154983137983149983141983154983155983159983151983157983148983140 983143983145983158983141 983159983137983161 983156983151 983137 983155983161983155983156983141983149 983156983144983137983156 983158983141983155983156983155
983152983151983159983141983154 983145983150 983151983150983141 983139983141983150983156983154983137983148 983143983151983158983141983154983150983149983141983150983156
983137983150983140 983145983150983140983145983158983145983140983157983137983148 983148983145983138983141983154983156983161 983159983151983157983148983140 983155983157983142983142983141983154
983092 983125 983105983123983123
983113983150 983156983144983141983155983141 983142983151983157983154 983139983137983155983141983155 983156983144983141 983123983157983152983154983141983149983141
983107983151983157983154983156 983144983137983155 983144983141983148983140 983139983151983150983155983145983155983156983141983150983156983148983161 983156983144983137983156
983156983144983141 983142983141983140983141983154983137983148 983143983151983158983141983154983150983149983141983150983156 983139983137983150983150983151983156
983139983151983149983152983141983148 983156983144983141 983155983156983137983156983141983155 983156983151 983139983137983154983154983161 983151983157983156
983142983141983140983141983154983137983148 983137983139983156983155
bull 983120983154983145983143983143 1842
bull 983118983141983159 983129983151983154983147 1992
bull 983120983154983145983150983156983162 1997
bull 983118983110983113983106 2012
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 8
Taken together these four cases firmly establish
a legal doctrine holding that the federal
government has no authority to force states to
cooperate in implementing or enforcing its acts
Legal experts cannot dispute the legitimacy of
this version of nullification through
noncooperation
James Madison himself offered this as the
blueprint for resisting federal power
in Federalist 46
The ldquoFather of the Constitutionrdquo outlined several
steps states can take to stop ldquoan unwarrantable
measurerdquo or ldquoeven a warrantable measurerdquo of
the federal government
Anticipating the anti-commandeering doctrine
Madison advised a ldquorefusal to cooperate with
officers of the Unionrdquo as a way to effectively
thwart federal acts which the people of a state
may see as being either unconstitutional or
merely unpopular
Madisonrsquos blueprint supported by the anti-
commandeering doctrine provides a powerful tool
that states can use to stop unconstitutional
federal acts in their tracks
In fact during the federal government shutdown
the National Association of Governors admitted
ldquoStates are partners with the federal government
in implementing most federal programsrdquo
That means states can create impediments to
enforcing and implementing ldquomost federal
programsrdquo
By simply refusing to provide material support to
the Affordable Care Act states have the power to
render these actions unenforceable
Even the Supreme Court agrees
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1015
983105983118983113 983113983123983105983113983118
Please direct any questions to infotenthamendmentcentercom or call 2139350553
983105983081 983106983105983118 983123983124983105983124983109 983107983119983119983120983109983122983105983124983113983119983118
An Act to ban state enforcement participation or material support with certain
unconstitutional laws enacted by the Congress of the United States taking control over
the health insurance industry and mandating that individuals purchase health insurance
under threat of penalty
SECTION 1 The legislature of the State of ____________ finds that
1 The People of the several states comprising the United States of America created the federal
government to be their agent for certain enumerated purposes and nothing more
2 The Tenth Amendment to the United States Constitution defines the total scope of federal
power as being that which has been delegated by the people of the several states to the federal
government and all power not delegated to the federal government in the Constitution of the
United States is reserved to the states respectively or to the people themselves
3 The assumption of power that the federal government has made by enacting the ldquoPatient
Protection and Affordable Care Actrdquo interferes with the right of the People of the State of _____________ to regulate health care as they see fit and makes a mockery of James
Madisonrsquos assurance in Federalist 45 that the ldquopowers delegatedrdquo to the Federal Government
are ldquofew and definedrdquo while those of the States are ldquonumerous and indefiniterdquo
SECTION 2 NEW LAW PROHIBITION ON ENFORCEMENT PARTICIPATION AND
MATERIAL SUPPORT IN CERTAIN FEDERAL ACTS
A new section of law to be codified in the [STATE] Statutes as Section [NUMBER] of Title
[NUMBER] unless there is created a duplication in numbering reads as follows
A Notwithstanding any law regulation rule or order to the contrary no agency of this state
political subdivision of this state or employee of an agency or political subdivision of this state
acting in his or her official capacity or corporation providing services on behalf of this state or a
political subdivision of this state shall
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 1
(1) Enforce any federal act law order rule or regulation of the federal government of the United
States designed to give effect to the Patient Protection and Affordable Care Act signed by
President Barack Obama on March 23 2010
(2) Provide material support participation or assistance in any form with any federal agency oremployee engaged in the enforcement of any federal act law order rule or regulation of the
federal government of the United States designed to give effect to the Patient Protection and
Affordable Care Act
(3) Utilize any assets state funds or funds allocated by the state to local entities on or after
(DATE) in whole or in part to engage in any activity that aids a federal agency federal agent
or corporation providing services to the federal government in the enforcement of any federal
act law order rule or regulation of the federal government of the United States designed to
give effect to the Patient Protection and Affordable Care Act
SECTION 3 PENALTIES
A A political subdivision of this state may not receive state grant funds if the political subdivision
adopts a rule order ordinance or policy under which the political subdivision violates Section 2
of this Act State grant funds for the political subdivision shall be denied for the fiscal year
following the year in which a final judicial determination in an action brought under this section is
made that the political subdivision has intentionally required actions which violate the
prohibitions in Section 2 of this Act
B Any agent or employee of this state or of any political subdivision of this state who knowinglyviolates the prohibitions in Section 2 of this act shall be deemed to have resigned any
commission from the State of (STATE) which he or she may possess his or her office shall be
deemed vacant and he or she shall be forever thereafter ineligible to any office of trust honor
or emolument under the laws of this State
C Any corporation or person that provides services to or on behalf of this state and violates the
prohibitions of Section 2 of this act shall be forever ineligible to act on behalf of or provide
services to this state or any political subdivision of this state
SECTION 4 SEVERABILITY
The provisions of this act are severable If any part of this act is declared invalid or
unconstitutional that declaration shall not affect the part which remains
SECTION 5 EFFECTIVE DATE
A This act takes effect upon approval by the Governor
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
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8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983090
expand Medicaid at the state level This was
supposed to account for $2 trillion in new
entitlement spending in the first 10 years But 25
states have rejected Medicaid expansion
effectively defunding a quarter of the new
spending Furthermore this action by the states
has made the bill less popular among health care
providers who will now be denied the subsidies
that they were promised in return for their
support
983120983122983119983124983109983107983124 983105983111983105983113983118983123983124 983117983105983118983108983105983124983109983123
Third states should protect their residents fromthe ObamaCare insurance mandate tax The
mandate is truly the most monstrous feature of
the health care law because it financially
penalizes individuals who either donrsquot want
insurance or canrsquot afford it But the states can
take steps to protect their citizens from the
mandate through several avenues
States can for example create a tax rebate for
any resident who incurs a penalty (or tax
whatever the feds prefer to call it) under
ObamaCare While this wouldnrsquot stop the penalty
from being assessed at the federal level it would
help effectively nullify its impact on the individual
citizens of a state
The states can also prohibit city and county clerks
and state-chartered banks from enforcing any
IRS liens resulting from nonpayment of the
ObamaCare tax Furthermore states that did not set up a state
run exchange under the Affordable Care Act can
actually block the ObamaCare tax by suspending
the licenses of insurance companies that accept
the subsidies that come with the law
Since no insurer would risk losing their business
by accepting the subsidies not a single employer
in the state could be assessed the employer-
mandate taxes that those subsidies trigger
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983091
983107983112983105983116983116983109983118983111983109 983124983112983109 983124983105983128983109983123
The fourth step is to challenge the IRSrsquos illegal
ObamaCare taxes Thirty-four states havebanned the creation of state-run exchanges
under the ACA This is problematic for
ObamaCare because the act authorizes subsidies
only through state-established exchanges not
exchanges created by the federal government So by refusing to create state-based exchanges
those 34 states have effectively defunded one-
third of the $2 trillion in entitlement spending
Additionally since it is only through the subsidies
that tax penalties are triggered under the
employer and individual mandates these 34
states have exempted their employers and
residents from the tax
Unsurprisingly the fact that these states havenrsquot
complied hasnrsquot stopped the federal government
from attempting to enforce the mandate taxes
and issue the subsidies To combat this illegal maneuver state attorneys
general employers school districts and individual
taxpayers have already filed at least four lawsuits
challenging the taxes These legal challenges will
be even more problematic for the implementation
of ObamaCare when additional employers and
state politicians follow suit
States should work to legislatively ban state
operation of the exchanges if they are currently in
operation or only not in operation due to an
executive orderaction
983107983119983118983107983116983125983123983113983119983118
Following these four steps at the state level is an
effective path to stopping Obamacare withoutrelying on the federal government to rein in its
own power
If recent history is any guide federal politicians
canrsquot be trusted to repeal terrible
unconstitutional legislation no matter which
party is in power
But if the states reassert their constitutional right
to resist federal acts the Affordable Care Act can
easily be rendered null and void The People of the states should encourage their
state and local representatives to follow the
examples of those states which have already
introduced this legislation and follow these four
steps to stop Obamacare
983118983109983128983124983098 983124983112983109 983116983109983111983105983116 983106983105983123983113983123
In the next section of this handbook you will
learn about the sound constitutional and legal
basis upon which this state-level strategy is
based on
983124983144983141 983074983137983152983152983154983151983137983139983144 983145983155 983151983150
983155983151983157983150983140 983148983141983143983137983148 983142983151983151983156983145983150983143983074
983085983117983141983154983139983141983154 983125983150983145983158983141983154983155983145983156983161 983148983137983159 983152983154983151983142983141983155983155983151983154 983108983137983158983145983140
983119983141983140983141983148983084 983152983137983154983156 983151983142 983156983144983141 983148983141983143983137983148 983156983141983137983149 983156983144983137983156
983154983141983152983154983141983155983141983150983156983141983140 983111983141983151983154983143983145983137 983145983150 983145983156983155 983139983151983157983154983156 983139983144983137983148983148983141983150983143983141 983156983151
983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983092
983105983118983113983085
983105983118983113983118
983113983118
ost Americans believe that the federal
government stands absolutely
supreme
Nobody can question its dictates Nobody can
refuse its edicts Nobody can resist its
commands
This is simply not true
Laws passed in pursuance of the Constitution do
stand as the supreme law of the land But that
doesnrsquot in any way imply the federal government
lords over everything and everybody in America
First off as James Madison asserted
in Federalist 45 the powers of the federal
government are ldquofew and definedrdquo
So federal power actually extends into only a few
spheres Most power and authority was left to
the states and the people
Second even within those areas that the federal
government does exercise authority it cannotforce state or local governments to cooperate in
enforcement or implementation The feds must
exercise their authority on their own unless the
state and local governments choose to assist
Simply put the federal government cannot force
state or local governments to act against their
will
This is known as the anti-commandeeringdoctrine and it is well established in
constitutional jurisprudence
Four Supreme Court opinions dating back to 1842
serve as the foundation for this legal doctrine
983107983105983123983109983098 983120983122983113983111983111 983158983086 983120983109983118983118983123983129983116983126983105983118983113983105
In Prigg v Pennsylvania (1842) Justice Joseph
Story held that the federal government could notforce states to implement or carry out the
Fugitive Slave Act of 1793 He said that it was a
federal law and the federal government
ultimately had to enforce it
983124983144983141 983142983157983150983140983137983149983141983150983156983137983148 983152983154983145983150983139983145983152983148983141 983137983152983152983148983145983139983137983138983148983141
983156983151 983137983148983148 983139983137983155983141983155 983151983142 983156983144983145983155 983155983151983154983156 983159983151983157983148983140 983155983141983141983149 983156983151
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M
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8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 615
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In the early 90s the state of New York sued the
federal government asserting provisions in the
Low-Level Radioactive Waste Policy
Amendments Act of 1985 were coercive and
violated its sovereignty under the Tenth
Amendment The Court majority in New York v
United States (1992) agreed holding that
ldquobecause the Actrsquos take title provision offers theStates a lsquochoicersquo between the two
unconstitutionally coercive alternativesndasheither
accepting ownership of waste or regulating
according to Congressrsquo instructionsndashthe provision
lies outside Congressrsquo enumerated powers and is
inconsistent with the Tenth Amendmentrdquo
Sandra Day OrsquoConnor wrote for the majority in the
6-3 decision
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983152983154983151983143983154983137983149991261
She later expounded on this point
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OrsquoConnor argues that standing alone both
options offered to the State of New York for
dealing with radioactive waste in the act
represented an unconstitutional overreach
Therefore forcing the state to choose between
the two is also unconstitutional
983105 983139983144983151983145983139983141 983138983141983156983159983141983141983150 983156983159983151
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8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 715
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Printz v United States (1997) serves as the
modern lynchpin for the anti-commandeering
doctrine At issue was a provision in the Brady
Gun Bill that required county law enforcement
officers to administer part of the background
check program
Sheriffs Jay Printz and Richard Mack sued
arguing these provisions unconstitutionally
forced them to administer a federal program
Justice Antonin Scalia agreed writing in the
majority opinion ldquoit is apparent that the Brady Act
purports to direct state law enforcement officers
to participate albeit only temporarily in the
administration of a federally enacted regulatory
schemerdquo
Citing the New York case the court majority
declared this provision of the Brady Gun Bill
unconstitutional expanding the reach of the anti-
commandeering doctrine
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Finally the Court held that the federal
government cannot force the states to act
against their will by withholding funds in a
coercive manner
In Independent Business v Sebelius (2012) the
Court held that the federal government can not
compel states to expand Medicaid by threatening
to withhold funding for Medicaid programs
already in place
991260983107983151983150983143983154983141983155983155 983139983137983150983150983151983156
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983152983154983151983143983154983137983149983086991261
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 815
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Justice Robert Kennedy argued that allowing
Congress to essentially punish states that
refused to go along violates constitutional
separation of powers
983124983144983141 983148983141983143983145983156983145983149983137983139983161 983151983142 983107983151983150983143983154983141983155983155991257983155 983141983160983141983154983139983145983155983141
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983155983151983158983141983154983141983145983143983150983155 983145983150 983151983157983154 983142983141983140983141983154983137983148 983155983161983155983156983141983149
983124983144983137983156 983155983161983155983156983141983149 991260983154983141983155983156983155 983151983150 983159983144983137983156 983149983145983143983144983156 983137983156
983142983145983154983155983156 983155983141983141983149 983137 983139983151983157983150983156983141983154983145983150983156983157983145983156983145983158983141 983145983150983155983145983143983144983156
983156983144983137983156 991256983142983154983141983141983140983151983149 983145983155 983141983150983144983137983150983139983141983140 983138983161 983156983144983141
983139983154983141983137983156983145983151983150 983151983142 983156983159983151 983143983151983158983141983154983150983149983141983150983156983155 983150983151983156
983151983150983141991257 991261 983106983151983150983140 564 983125 983123 983137983156 983135983135983135 (983155983148983145983152
983151983152 983137983156 8) (983153983157983151983156983145983150983143 A983148983140983141983150 983158 983117983137983145983150983141
527 983125 983123 706 758 (1999) )
983110983151983154 983156983144983145983155 983154983141983137983155983151983150 991260983156983144983141 983107983151983150983155983156983145983156983157983156983145983151983150 983144983137983155
983150983141983158983141983154 983138983141983141983150 983157983150983140983141983154983155983156983151983151983140 983156983151 983139983151983150983142983141983154
983157983152983151983150 983107983151983150983143983154983141983155983155 983156983144983141 983137983138983145983148983145983156983161 983156983151 983154983141983153983157983145983154983141
983156983144983141 983123983156983137983156983141983155 983156983151 983143983151983158983141983154983150 983137983139983139983151983154983140983145983150983143 983156983151
983107983151983150983143983154983141983155983155991257 983145983150983155983156983154983157983139983156983145983151983150983155991261 983118983141983159 983129983151983154983147
983155983157983152983154983137 983137983156 162
983119983156983144983141983154983159983145983155983141 983156983144983141 983156983159983151983085983143983151983158983141983154983150983149983141983150983156
983155983161983155983156983141983149 983141983155983156983137983138983148983145983155983144983141983140 983138983161 983156983144983141 983110983154983137983149983141983154983155983159983151983157983148983140 983143983145983158983141 983159983137983161 983156983151 983137 983155983161983155983156983141983149 983156983144983137983156 983158983141983155983156983155
983152983151983159983141983154 983145983150 983151983150983141 983139983141983150983156983154983137983148 983143983151983158983141983154983150983149983141983150983156
983137983150983140 983145983150983140983145983158983145983140983157983137983148 983148983145983138983141983154983156983161 983159983151983157983148983140 983155983157983142983142983141983154
983092 983125 983105983123983123
983113983150 983156983144983141983155983141 983142983151983157983154 983139983137983155983141983155 983156983144983141 983123983157983152983154983141983149983141
983107983151983157983154983156 983144983137983155 983144983141983148983140 983139983151983150983155983145983155983156983141983150983156983148983161 983156983144983137983156
983156983144983141 983142983141983140983141983154983137983148 983143983151983158983141983154983150983149983141983150983156 983139983137983150983150983151983156
983139983151983149983152983141983148 983156983144983141 983155983156983137983156983141983155 983156983151 983139983137983154983154983161 983151983157983156
983142983141983140983141983154983137983148 983137983139983156983155
bull 983120983154983145983143983143 1842
bull 983118983141983159 983129983151983154983147 1992
bull 983120983154983145983150983156983162 1997
bull 983118983110983113983106 2012
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 8
Taken together these four cases firmly establish
a legal doctrine holding that the federal
government has no authority to force states to
cooperate in implementing or enforcing its acts
Legal experts cannot dispute the legitimacy of
this version of nullification through
noncooperation
James Madison himself offered this as the
blueprint for resisting federal power
in Federalist 46
The ldquoFather of the Constitutionrdquo outlined several
steps states can take to stop ldquoan unwarrantable
measurerdquo or ldquoeven a warrantable measurerdquo of
the federal government
Anticipating the anti-commandeering doctrine
Madison advised a ldquorefusal to cooperate with
officers of the Unionrdquo as a way to effectively
thwart federal acts which the people of a state
may see as being either unconstitutional or
merely unpopular
Madisonrsquos blueprint supported by the anti-
commandeering doctrine provides a powerful tool
that states can use to stop unconstitutional
federal acts in their tracks
In fact during the federal government shutdown
the National Association of Governors admitted
ldquoStates are partners with the federal government
in implementing most federal programsrdquo
That means states can create impediments to
enforcing and implementing ldquomost federal
programsrdquo
By simply refusing to provide material support to
the Affordable Care Act states have the power to
render these actions unenforceable
Even the Supreme Court agrees
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1015
983105983118983113 983113983123983105983113983118
Please direct any questions to infotenthamendmentcentercom or call 2139350553
983105983081 983106983105983118 983123983124983105983124983109 983107983119983119983120983109983122983105983124983113983119983118
An Act to ban state enforcement participation or material support with certain
unconstitutional laws enacted by the Congress of the United States taking control over
the health insurance industry and mandating that individuals purchase health insurance
under threat of penalty
SECTION 1 The legislature of the State of ____________ finds that
1 The People of the several states comprising the United States of America created the federal
government to be their agent for certain enumerated purposes and nothing more
2 The Tenth Amendment to the United States Constitution defines the total scope of federal
power as being that which has been delegated by the people of the several states to the federal
government and all power not delegated to the federal government in the Constitution of the
United States is reserved to the states respectively or to the people themselves
3 The assumption of power that the federal government has made by enacting the ldquoPatient
Protection and Affordable Care Actrdquo interferes with the right of the People of the State of _____________ to regulate health care as they see fit and makes a mockery of James
Madisonrsquos assurance in Federalist 45 that the ldquopowers delegatedrdquo to the Federal Government
are ldquofew and definedrdquo while those of the States are ldquonumerous and indefiniterdquo
SECTION 2 NEW LAW PROHIBITION ON ENFORCEMENT PARTICIPATION AND
MATERIAL SUPPORT IN CERTAIN FEDERAL ACTS
A new section of law to be codified in the [STATE] Statutes as Section [NUMBER] of Title
[NUMBER] unless there is created a duplication in numbering reads as follows
A Notwithstanding any law regulation rule or order to the contrary no agency of this state
political subdivision of this state or employee of an agency or political subdivision of this state
acting in his or her official capacity or corporation providing services on behalf of this state or a
political subdivision of this state shall
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 1
(1) Enforce any federal act law order rule or regulation of the federal government of the United
States designed to give effect to the Patient Protection and Affordable Care Act signed by
President Barack Obama on March 23 2010
(2) Provide material support participation or assistance in any form with any federal agency oremployee engaged in the enforcement of any federal act law order rule or regulation of the
federal government of the United States designed to give effect to the Patient Protection and
Affordable Care Act
(3) Utilize any assets state funds or funds allocated by the state to local entities on or after
(DATE) in whole or in part to engage in any activity that aids a federal agency federal agent
or corporation providing services to the federal government in the enforcement of any federal
act law order rule or regulation of the federal government of the United States designed to
give effect to the Patient Protection and Affordable Care Act
SECTION 3 PENALTIES
A A political subdivision of this state may not receive state grant funds if the political subdivision
adopts a rule order ordinance or policy under which the political subdivision violates Section 2
of this Act State grant funds for the political subdivision shall be denied for the fiscal year
following the year in which a final judicial determination in an action brought under this section is
made that the political subdivision has intentionally required actions which violate the
prohibitions in Section 2 of this Act
B Any agent or employee of this state or of any political subdivision of this state who knowinglyviolates the prohibitions in Section 2 of this act shall be deemed to have resigned any
commission from the State of (STATE) which he or she may possess his or her office shall be
deemed vacant and he or she shall be forever thereafter ineligible to any office of trust honor
or emolument under the laws of this State
C Any corporation or person that provides services to or on behalf of this state and violates the
prohibitions of Section 2 of this act shall be forever ineligible to act on behalf of or provide
services to this state or any political subdivision of this state
SECTION 4 SEVERABILITY
The provisions of this act are severable If any part of this act is declared invalid or
unconstitutional that declaration shall not affect the part which remains
SECTION 5 EFFECTIVE DATE
A This act takes effect upon approval by the Governor
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
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8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 415
983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983091
983107983112983105983116983116983109983118983111983109 983124983112983109 983124983105983128983109983123
The fourth step is to challenge the IRSrsquos illegal
ObamaCare taxes Thirty-four states havebanned the creation of state-run exchanges
under the ACA This is problematic for
ObamaCare because the act authorizes subsidies
only through state-established exchanges not
exchanges created by the federal government So by refusing to create state-based exchanges
those 34 states have effectively defunded one-
third of the $2 trillion in entitlement spending
Additionally since it is only through the subsidies
that tax penalties are triggered under the
employer and individual mandates these 34
states have exempted their employers and
residents from the tax
Unsurprisingly the fact that these states havenrsquot
complied hasnrsquot stopped the federal government
from attempting to enforce the mandate taxes
and issue the subsidies To combat this illegal maneuver state attorneys
general employers school districts and individual
taxpayers have already filed at least four lawsuits
challenging the taxes These legal challenges will
be even more problematic for the implementation
of ObamaCare when additional employers and
state politicians follow suit
States should work to legislatively ban state
operation of the exchanges if they are currently in
operation or only not in operation due to an
executive orderaction
983107983119983118983107983116983125983123983113983119983118
Following these four steps at the state level is an
effective path to stopping Obamacare withoutrelying on the federal government to rein in its
own power
If recent history is any guide federal politicians
canrsquot be trusted to repeal terrible
unconstitutional legislation no matter which
party is in power
But if the states reassert their constitutional right
to resist federal acts the Affordable Care Act can
easily be rendered null and void The People of the states should encourage their
state and local representatives to follow the
examples of those states which have already
introduced this legislation and follow these four
steps to stop Obamacare
983118983109983128983124983098 983124983112983109 983116983109983111983105983116 983106983105983123983113983123
In the next section of this handbook you will
learn about the sound constitutional and legal
basis upon which this state-level strategy is
based on
983124983144983141 983074983137983152983152983154983151983137983139983144 983145983155 983151983150
983155983151983157983150983140 983148983141983143983137983148 983142983151983151983156983145983150983143983074
983085983117983141983154983139983141983154 983125983150983145983158983141983154983155983145983156983161 983148983137983159 983152983154983151983142983141983155983155983151983154 983108983137983158983145983140
983119983141983140983141983148983084 983152983137983154983156 983151983142 983156983144983141 983148983141983143983137983148 983156983141983137983149 983156983144983137983156
983154983141983152983154983141983155983141983150983156983141983140 983111983141983151983154983143983145983137 983145983150 983145983156983155 983139983151983157983154983156 983139983144983137983148983148983141983150983143983141 983156983151
983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983092
983105983118983113983085
983105983118983113983118
983113983118
ost Americans believe that the federal
government stands absolutely
supreme
Nobody can question its dictates Nobody can
refuse its edicts Nobody can resist its
commands
This is simply not true
Laws passed in pursuance of the Constitution do
stand as the supreme law of the land But that
doesnrsquot in any way imply the federal government
lords over everything and everybody in America
First off as James Madison asserted
in Federalist 45 the powers of the federal
government are ldquofew and definedrdquo
So federal power actually extends into only a few
spheres Most power and authority was left to
the states and the people
Second even within those areas that the federal
government does exercise authority it cannotforce state or local governments to cooperate in
enforcement or implementation The feds must
exercise their authority on their own unless the
state and local governments choose to assist
Simply put the federal government cannot force
state or local governments to act against their
will
This is known as the anti-commandeeringdoctrine and it is well established in
constitutional jurisprudence
Four Supreme Court opinions dating back to 1842
serve as the foundation for this legal doctrine
983107983105983123983109983098 983120983122983113983111983111 983158983086 983120983109983118983118983123983129983116983126983105983118983113983105
In Prigg v Pennsylvania (1842) Justice Joseph
Story held that the federal government could notforce states to implement or carry out the
Fugitive Slave Act of 1793 He said that it was a
federal law and the federal government
ultimately had to enforce it
983124983144983141 983142983157983150983140983137983149983141983150983156983137983148 983152983154983145983150983139983145983152983148983141 983137983152983152983148983145983139983137983138983148983141
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M
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8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 615
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In the early 90s the state of New York sued the
federal government asserting provisions in the
Low-Level Radioactive Waste Policy
Amendments Act of 1985 were coercive and
violated its sovereignty under the Tenth
Amendment The Court majority in New York v
United States (1992) agreed holding that
ldquobecause the Actrsquos take title provision offers theStates a lsquochoicersquo between the two
unconstitutionally coercive alternativesndasheither
accepting ownership of waste or regulating
according to Congressrsquo instructionsndashthe provision
lies outside Congressrsquo enumerated powers and is
inconsistent with the Tenth Amendmentrdquo
Sandra Day OrsquoConnor wrote for the majority in the
6-3 decision
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983152983154983151983143983154983137983149991261
She later expounded on this point
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OrsquoConnor argues that standing alone both
options offered to the State of New York for
dealing with radioactive waste in the act
represented an unconstitutional overreach
Therefore forcing the state to choose between
the two is also unconstitutional
983105 983139983144983151983145983139983141 983138983141983156983159983141983141983150 983156983159983151
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8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 715
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Printz v United States (1997) serves as the
modern lynchpin for the anti-commandeering
doctrine At issue was a provision in the Brady
Gun Bill that required county law enforcement
officers to administer part of the background
check program
Sheriffs Jay Printz and Richard Mack sued
arguing these provisions unconstitutionally
forced them to administer a federal program
Justice Antonin Scalia agreed writing in the
majority opinion ldquoit is apparent that the Brady Act
purports to direct state law enforcement officers
to participate albeit only temporarily in the
administration of a federally enacted regulatory
schemerdquo
Citing the New York case the court majority
declared this provision of the Brady Gun Bill
unconstitutional expanding the reach of the anti-
commandeering doctrine
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Finally the Court held that the federal
government cannot force the states to act
against their will by withholding funds in a
coercive manner
In Independent Business v Sebelius (2012) the
Court held that the federal government can not
compel states to expand Medicaid by threatening
to withhold funding for Medicaid programs
already in place
991260983107983151983150983143983154983141983155983155 983139983137983150983150983151983156
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8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 815
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Justice Robert Kennedy argued that allowing
Congress to essentially punish states that
refused to go along violates constitutional
separation of powers
983124983144983141 983148983141983143983145983156983145983149983137983139983161 983151983142 983107983151983150983143983154983141983155983155991257983155 983141983160983141983154983139983145983155983141
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983155983151983158983141983154983141983145983143983150983155 983145983150 983151983157983154 983142983141983140983141983154983137983148 983155983161983155983156983141983149
983124983144983137983156 983155983161983155983156983141983149 991260983154983141983155983156983155 983151983150 983159983144983137983156 983149983145983143983144983156 983137983156
983142983145983154983155983156 983155983141983141983149 983137 983139983151983157983150983156983141983154983145983150983156983157983145983156983145983158983141 983145983150983155983145983143983144983156
983156983144983137983156 991256983142983154983141983141983140983151983149 983145983155 983141983150983144983137983150983139983141983140 983138983161 983156983144983141
983139983154983141983137983156983145983151983150 983151983142 983156983159983151 983143983151983158983141983154983150983149983141983150983156983155 983150983151983156
983151983150983141991257 991261 983106983151983150983140 564 983125 983123 983137983156 983135983135983135 (983155983148983145983152
983151983152 983137983156 8) (983153983157983151983156983145983150983143 A983148983140983141983150 983158 983117983137983145983150983141
527 983125 983123 706 758 (1999) )
983110983151983154 983156983144983145983155 983154983141983137983155983151983150 991260983156983144983141 983107983151983150983155983156983145983156983157983156983145983151983150 983144983137983155
983150983141983158983141983154 983138983141983141983150 983157983150983140983141983154983155983156983151983151983140 983156983151 983139983151983150983142983141983154
983157983152983151983150 983107983151983150983143983154983141983155983155 983156983144983141 983137983138983145983148983145983156983161 983156983151 983154983141983153983157983145983154983141
983156983144983141 983123983156983137983156983141983155 983156983151 983143983151983158983141983154983150 983137983139983139983151983154983140983145983150983143 983156983151
983107983151983150983143983154983141983155983155991257 983145983150983155983156983154983157983139983156983145983151983150983155991261 983118983141983159 983129983151983154983147
983155983157983152983154983137 983137983156 162
983119983156983144983141983154983159983145983155983141 983156983144983141 983156983159983151983085983143983151983158983141983154983150983149983141983150983156
983155983161983155983156983141983149 983141983155983156983137983138983148983145983155983144983141983140 983138983161 983156983144983141 983110983154983137983149983141983154983155983159983151983157983148983140 983143983145983158983141 983159983137983161 983156983151 983137 983155983161983155983156983141983149 983156983144983137983156 983158983141983155983156983155
983152983151983159983141983154 983145983150 983151983150983141 983139983141983150983156983154983137983148 983143983151983158983141983154983150983149983141983150983156
983137983150983140 983145983150983140983145983158983145983140983157983137983148 983148983145983138983141983154983156983161 983159983151983157983148983140 983155983157983142983142983141983154
983092 983125 983105983123983123
983113983150 983156983144983141983155983141 983142983151983157983154 983139983137983155983141983155 983156983144983141 983123983157983152983154983141983149983141
983107983151983157983154983156 983144983137983155 983144983141983148983140 983139983151983150983155983145983155983156983141983150983156983148983161 983156983144983137983156
983156983144983141 983142983141983140983141983154983137983148 983143983151983158983141983154983150983149983141983150983156 983139983137983150983150983151983156
983139983151983149983152983141983148 983156983144983141 983155983156983137983156983141983155 983156983151 983139983137983154983154983161 983151983157983156
983142983141983140983141983154983137983148 983137983139983156983155
bull 983120983154983145983143983143 1842
bull 983118983141983159 983129983151983154983147 1992
bull 983120983154983145983150983156983162 1997
bull 983118983110983113983106 2012
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 8
Taken together these four cases firmly establish
a legal doctrine holding that the federal
government has no authority to force states to
cooperate in implementing or enforcing its acts
Legal experts cannot dispute the legitimacy of
this version of nullification through
noncooperation
James Madison himself offered this as the
blueprint for resisting federal power
in Federalist 46
The ldquoFather of the Constitutionrdquo outlined several
steps states can take to stop ldquoan unwarrantable
measurerdquo or ldquoeven a warrantable measurerdquo of
the federal government
Anticipating the anti-commandeering doctrine
Madison advised a ldquorefusal to cooperate with
officers of the Unionrdquo as a way to effectively
thwart federal acts which the people of a state
may see as being either unconstitutional or
merely unpopular
Madisonrsquos blueprint supported by the anti-
commandeering doctrine provides a powerful tool
that states can use to stop unconstitutional
federal acts in their tracks
In fact during the federal government shutdown
the National Association of Governors admitted
ldquoStates are partners with the federal government
in implementing most federal programsrdquo
That means states can create impediments to
enforcing and implementing ldquomost federal
programsrdquo
By simply refusing to provide material support to
the Affordable Care Act states have the power to
render these actions unenforceable
Even the Supreme Court agrees
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983105983118983113 983113983123983105983113983118
Please direct any questions to infotenthamendmentcentercom or call 2139350553
983105983081 983106983105983118 983123983124983105983124983109 983107983119983119983120983109983122983105983124983113983119983118
An Act to ban state enforcement participation or material support with certain
unconstitutional laws enacted by the Congress of the United States taking control over
the health insurance industry and mandating that individuals purchase health insurance
under threat of penalty
SECTION 1 The legislature of the State of ____________ finds that
1 The People of the several states comprising the United States of America created the federal
government to be their agent for certain enumerated purposes and nothing more
2 The Tenth Amendment to the United States Constitution defines the total scope of federal
power as being that which has been delegated by the people of the several states to the federal
government and all power not delegated to the federal government in the Constitution of the
United States is reserved to the states respectively or to the people themselves
3 The assumption of power that the federal government has made by enacting the ldquoPatient
Protection and Affordable Care Actrdquo interferes with the right of the People of the State of _____________ to regulate health care as they see fit and makes a mockery of James
Madisonrsquos assurance in Federalist 45 that the ldquopowers delegatedrdquo to the Federal Government
are ldquofew and definedrdquo while those of the States are ldquonumerous and indefiniterdquo
SECTION 2 NEW LAW PROHIBITION ON ENFORCEMENT PARTICIPATION AND
MATERIAL SUPPORT IN CERTAIN FEDERAL ACTS
A new section of law to be codified in the [STATE] Statutes as Section [NUMBER] of Title
[NUMBER] unless there is created a duplication in numbering reads as follows
A Notwithstanding any law regulation rule or order to the contrary no agency of this state
political subdivision of this state or employee of an agency or political subdivision of this state
acting in his or her official capacity or corporation providing services on behalf of this state or a
political subdivision of this state shall
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 1
(1) Enforce any federal act law order rule or regulation of the federal government of the United
States designed to give effect to the Patient Protection and Affordable Care Act signed by
President Barack Obama on March 23 2010
(2) Provide material support participation or assistance in any form with any federal agency oremployee engaged in the enforcement of any federal act law order rule or regulation of the
federal government of the United States designed to give effect to the Patient Protection and
Affordable Care Act
(3) Utilize any assets state funds or funds allocated by the state to local entities on or after
(DATE) in whole or in part to engage in any activity that aids a federal agency federal agent
or corporation providing services to the federal government in the enforcement of any federal
act law order rule or regulation of the federal government of the United States designed to
give effect to the Patient Protection and Affordable Care Act
SECTION 3 PENALTIES
A A political subdivision of this state may not receive state grant funds if the political subdivision
adopts a rule order ordinance or policy under which the political subdivision violates Section 2
of this Act State grant funds for the political subdivision shall be denied for the fiscal year
following the year in which a final judicial determination in an action brought under this section is
made that the political subdivision has intentionally required actions which violate the
prohibitions in Section 2 of this Act
B Any agent or employee of this state or of any political subdivision of this state who knowinglyviolates the prohibitions in Section 2 of this act shall be deemed to have resigned any
commission from the State of (STATE) which he or she may possess his or her office shall be
deemed vacant and he or she shall be forever thereafter ineligible to any office of trust honor
or emolument under the laws of this State
C Any corporation or person that provides services to or on behalf of this state and violates the
prohibitions of Section 2 of this act shall be forever ineligible to act on behalf of or provide
services to this state or any political subdivision of this state
SECTION 4 SEVERABILITY
The provisions of this act are severable If any part of this act is declared invalid or
unconstitutional that declaration shall not affect the part which remains
SECTION 5 EFFECTIVE DATE
A This act takes effect upon approval by the Governor
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1315
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 515
983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983092
983105983118983113983085
983105983118983113983118
983113983118
ost Americans believe that the federal
government stands absolutely
supreme
Nobody can question its dictates Nobody can
refuse its edicts Nobody can resist its
commands
This is simply not true
Laws passed in pursuance of the Constitution do
stand as the supreme law of the land But that
doesnrsquot in any way imply the federal government
lords over everything and everybody in America
First off as James Madison asserted
in Federalist 45 the powers of the federal
government are ldquofew and definedrdquo
So federal power actually extends into only a few
spheres Most power and authority was left to
the states and the people
Second even within those areas that the federal
government does exercise authority it cannotforce state or local governments to cooperate in
enforcement or implementation The feds must
exercise their authority on their own unless the
state and local governments choose to assist
Simply put the federal government cannot force
state or local governments to act against their
will
This is known as the anti-commandeeringdoctrine and it is well established in
constitutional jurisprudence
Four Supreme Court opinions dating back to 1842
serve as the foundation for this legal doctrine
983107983105983123983109983098 983120983122983113983111983111 983158983086 983120983109983118983118983123983129983116983126983105983118983113983105
In Prigg v Pennsylvania (1842) Justice Joseph
Story held that the federal government could notforce states to implement or carry out the
Fugitive Slave Act of 1793 He said that it was a
federal law and the federal government
ultimately had to enforce it
983124983144983141 983142983157983150983140983137983149983141983150983156983137983148 983152983154983145983150983139983145983152983148983141 983137983152983152983148983145983139983137983138983148983141
983156983151 983137983148983148 983139983137983155983141983155 983151983142 983156983144983145983155 983155983151983154983156 983159983151983157983148983140 983155983141983141983149 983156983151
983138983141 983156983144983137983156 983159983144983141983154983141 983156983144983141 983141983150983140 983145983155 983154983141983153983157983145983154983141983140
983156983144983141 983149983141983137983150983155 983137983154983141 983143983145983158983141983150983099 983137983150983140 983159983144983141983154983141 983156983144983141983140983157983156983161 983145983155 983141983150983146983151983145983150983141983140 983156983144983141 983137983138983145983148983145983156983161 983156983151
983152983141983154983142983151983154983149 983145983156 983145983155 983139983151983150983156983141983149983152983148983137983156983141983140 983156983151 983141983160983145983155983156
983151983150 983156983144983141 983152983137983154983156 983151983142 983156983144983141 983142983157983150983139983156983145983151983150983137983154983145983141983155 983156983151
983159983144983151983149 983145983156 983145983155 983141983150983156983154983157983155983156983141983140 983124983144983141 983139983148983137983157983155983141 983145983155
983142983151983157983150983140 983145983150 983156983144983141 983150983137983156983145983151983150983137983148 983107983151983150983155983156983145983156983157983156983145983151983150
983137983150983140 983150983151983156 983145983150 983156983144983137983156 983151983142 983137983150983161 983155983156983137983156983141 983113983156 983140983151983141983155
M
991260983124983144983141 983155983156983137983156983141983155 983139983137983150983150983151983156983084
983156983144983141983154983141983142983151983154983141983084 983138983141 983139983151983149983152983141983148983148983141983140
983156983151 983141983150983142983151983154983139983141991270991261
983085983114983157983155983156983145983139983141 983114983151983155983141983152983144 983123983156983151983154983161983084 983120983154983145983143983143 983158 983120983141983150983150983155983161983148983158983137983150983145983137
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 615
983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
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In the early 90s the state of New York sued the
federal government asserting provisions in the
Low-Level Radioactive Waste Policy
Amendments Act of 1985 were coercive and
violated its sovereignty under the Tenth
Amendment The Court majority in New York v
United States (1992) agreed holding that
ldquobecause the Actrsquos take title provision offers theStates a lsquochoicersquo between the two
unconstitutionally coercive alternativesndasheither
accepting ownership of waste or regulating
according to Congressrsquo instructionsndashthe provision
lies outside Congressrsquo enumerated powers and is
inconsistent with the Tenth Amendmentrdquo
Sandra Day OrsquoConnor wrote for the majority in the
6-3 decision
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983152983154983151983143983154983137983149991261
She later expounded on this point
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OrsquoConnor argues that standing alone both
options offered to the State of New York for
dealing with radioactive waste in the act
represented an unconstitutional overreach
Therefore forcing the state to choose between
the two is also unconstitutional
983105 983139983144983151983145983139983141 983138983141983156983159983141983141983150 983156983159983151
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983152983154983151983143983154983137983149991261
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 715
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Printz v United States (1997) serves as the
modern lynchpin for the anti-commandeering
doctrine At issue was a provision in the Brady
Gun Bill that required county law enforcement
officers to administer part of the background
check program
Sheriffs Jay Printz and Richard Mack sued
arguing these provisions unconstitutionally
forced them to administer a federal program
Justice Antonin Scalia agreed writing in the
majority opinion ldquoit is apparent that the Brady Act
purports to direct state law enforcement officers
to participate albeit only temporarily in the
administration of a federally enacted regulatory
schemerdquo
Citing the New York case the court majority
declared this provision of the Brady Gun Bill
unconstitutional expanding the reach of the anti-
commandeering doctrine
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Finally the Court held that the federal
government cannot force the states to act
against their will by withholding funds in a
coercive manner
In Independent Business v Sebelius (2012) the
Court held that the federal government can not
compel states to expand Medicaid by threatening
to withhold funding for Medicaid programs
already in place
991260983107983151983150983143983154983141983155983155 983139983137983150983150983151983156
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8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 815
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Justice Robert Kennedy argued that allowing
Congress to essentially punish states that
refused to go along violates constitutional
separation of powers
983124983144983141 983148983141983143983145983156983145983149983137983139983161 983151983142 983107983151983150983143983154983141983155983155991257983155 983141983160983141983154983139983145983155983141
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527 983125 983123 706 758 (1999) )
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983155983157983152983154983137 983137983156 162
983119983156983144983141983154983159983145983155983141 983156983144983141 983156983159983151983085983143983151983158983141983154983150983149983141983150983156
983155983161983155983156983141983149 983141983155983156983137983138983148983145983155983144983141983140 983138983161 983156983144983141 983110983154983137983149983141983154983155983159983151983157983148983140 983143983145983158983141 983159983137983161 983156983151 983137 983155983161983155983156983141983149 983156983144983137983156 983158983141983155983156983155
983152983151983159983141983154 983145983150 983151983150983141 983139983141983150983156983154983137983148 983143983151983158983141983154983150983149983141983150983156
983137983150983140 983145983150983140983145983158983145983140983157983137983148 983148983145983138983141983154983156983161 983159983151983157983148983140 983155983157983142983142983141983154
983092 983125 983105983123983123
983113983150 983156983144983141983155983141 983142983151983157983154 983139983137983155983141983155 983156983144983141 983123983157983152983154983141983149983141
983107983151983157983154983156 983144983137983155 983144983141983148983140 983139983151983150983155983145983155983156983141983150983156983148983161 983156983144983137983156
983156983144983141 983142983141983140983141983154983137983148 983143983151983158983141983154983150983149983141983150983156 983139983137983150983150983151983156
983139983151983149983152983141983148 983156983144983141 983155983156983137983156983141983155 983156983151 983139983137983154983154983161 983151983157983156
983142983141983140983141983154983137983148 983137983139983156983155
bull 983120983154983145983143983143 1842
bull 983118983141983159 983129983151983154983147 1992
bull 983120983154983145983150983156983162 1997
bull 983118983110983113983106 2012
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 915
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 8
Taken together these four cases firmly establish
a legal doctrine holding that the federal
government has no authority to force states to
cooperate in implementing or enforcing its acts
Legal experts cannot dispute the legitimacy of
this version of nullification through
noncooperation
James Madison himself offered this as the
blueprint for resisting federal power
in Federalist 46
The ldquoFather of the Constitutionrdquo outlined several
steps states can take to stop ldquoan unwarrantable
measurerdquo or ldquoeven a warrantable measurerdquo of
the federal government
Anticipating the anti-commandeering doctrine
Madison advised a ldquorefusal to cooperate with
officers of the Unionrdquo as a way to effectively
thwart federal acts which the people of a state
may see as being either unconstitutional or
merely unpopular
Madisonrsquos blueprint supported by the anti-
commandeering doctrine provides a powerful tool
that states can use to stop unconstitutional
federal acts in their tracks
In fact during the federal government shutdown
the National Association of Governors admitted
ldquoStates are partners with the federal government
in implementing most federal programsrdquo
That means states can create impediments to
enforcing and implementing ldquomost federal
programsrdquo
By simply refusing to provide material support to
the Affordable Care Act states have the power to
render these actions unenforceable
Even the Supreme Court agrees
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1015
983105983118983113 983113983123983105983113983118
Please direct any questions to infotenthamendmentcentercom or call 2139350553
983105983081 983106983105983118 983123983124983105983124983109 983107983119983119983120983109983122983105983124983113983119983118
An Act to ban state enforcement participation or material support with certain
unconstitutional laws enacted by the Congress of the United States taking control over
the health insurance industry and mandating that individuals purchase health insurance
under threat of penalty
SECTION 1 The legislature of the State of ____________ finds that
1 The People of the several states comprising the United States of America created the federal
government to be their agent for certain enumerated purposes and nothing more
2 The Tenth Amendment to the United States Constitution defines the total scope of federal
power as being that which has been delegated by the people of the several states to the federal
government and all power not delegated to the federal government in the Constitution of the
United States is reserved to the states respectively or to the people themselves
3 The assumption of power that the federal government has made by enacting the ldquoPatient
Protection and Affordable Care Actrdquo interferes with the right of the People of the State of _____________ to regulate health care as they see fit and makes a mockery of James
Madisonrsquos assurance in Federalist 45 that the ldquopowers delegatedrdquo to the Federal Government
are ldquofew and definedrdquo while those of the States are ldquonumerous and indefiniterdquo
SECTION 2 NEW LAW PROHIBITION ON ENFORCEMENT PARTICIPATION AND
MATERIAL SUPPORT IN CERTAIN FEDERAL ACTS
A new section of law to be codified in the [STATE] Statutes as Section [NUMBER] of Title
[NUMBER] unless there is created a duplication in numbering reads as follows
A Notwithstanding any law regulation rule or order to the contrary no agency of this state
political subdivision of this state or employee of an agency or political subdivision of this state
acting in his or her official capacity or corporation providing services on behalf of this state or a
political subdivision of this state shall
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1115
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 1
(1) Enforce any federal act law order rule or regulation of the federal government of the United
States designed to give effect to the Patient Protection and Affordable Care Act signed by
President Barack Obama on March 23 2010
(2) Provide material support participation or assistance in any form with any federal agency oremployee engaged in the enforcement of any federal act law order rule or regulation of the
federal government of the United States designed to give effect to the Patient Protection and
Affordable Care Act
(3) Utilize any assets state funds or funds allocated by the state to local entities on or after
(DATE) in whole or in part to engage in any activity that aids a federal agency federal agent
or corporation providing services to the federal government in the enforcement of any federal
act law order rule or regulation of the federal government of the United States designed to
give effect to the Patient Protection and Affordable Care Act
SECTION 3 PENALTIES
A A political subdivision of this state may not receive state grant funds if the political subdivision
adopts a rule order ordinance or policy under which the political subdivision violates Section 2
of this Act State grant funds for the political subdivision shall be denied for the fiscal year
following the year in which a final judicial determination in an action brought under this section is
made that the political subdivision has intentionally required actions which violate the
prohibitions in Section 2 of this Act
B Any agent or employee of this state or of any political subdivision of this state who knowinglyviolates the prohibitions in Section 2 of this act shall be deemed to have resigned any
commission from the State of (STATE) which he or she may possess his or her office shall be
deemed vacant and he or she shall be forever thereafter ineligible to any office of trust honor
or emolument under the laws of this State
C Any corporation or person that provides services to or on behalf of this state and violates the
prohibitions of Section 2 of this act shall be forever ineligible to act on behalf of or provide
services to this state or any political subdivision of this state
SECTION 4 SEVERABILITY
The provisions of this act are severable If any part of this act is declared invalid or
unconstitutional that declaration shall not affect the part which remains
SECTION 5 EFFECTIVE DATE
A This act takes effect upon approval by the Governor
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1315
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1415
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 615
983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983093
983150983151983156 983152983151983145983150983156 983151983157983156 983137983150983161 983155983156983137983156983141 983142983157983150983139983156983145983151983150983137983154983145983141983155
983151983154 983137983150983161 983155983156983137983156983141 983137983139983156983145983151983150 983156983151 983139983137983154983154983161 983145983156983155
983152983154983151983158983145983155983145983151983150983155 983145983150983156983151 983141983142983142983141983139983156 983124983144983141 983155983156983137983156983141983155
983139983137983150983150983151983156 983156983144983141983154983141983142983151983154983141 983138983141 983139983151983149983152983141983148983148983141983140 983156983151
983141983150983142983151983154983139983141 983156983144983141983149983099 983137983150983140 983145983156 983149983145983143983144983156 983159983141983148983148 983138983141983140983141983141983149983141983140 983137983150 983157983150983139983151983150983155983156983145983156983157983156983145983151983150983137983148 983141983160983141983154983139983145983155983141
983151983142 983156983144983141 983152983151983159983141983154 983151983142 983145983150983156983141983154983152983154983141983156983137983156983145983151983150 983156983151
983145983150983155983145983155983156 983156983144983137983156 983156983144983141 983155983156983137983156983141983155 983137983154983141 983138983151983157983150983140 983156983151
983152983154983151983158983145983140983141 983149983141983137983150983155 983156983151 983139983137983154983154983161 983145983150983156983151 983141983142983142983141983139983156
983156983144983141 983140983157983156983145983141983155 983151983142 983156983144983141 983150983137983156983145983151983150983137983148
983143983151983158983141983154983150983149983141983150983156 983150983151983159983144983141983154983141 983140983141983148983141983143983137983156983141983140 983151983154
983145983150983155983156983154983157983155983156983141983140 983156983151 983156983144983141983149 983138983161 983156983144983141
983107983151983150983155983156983145983156983157983156983145983151983150
983107983105983123983109983098 983118983109983127 983129983119983122983115 983126983123 983125983118983113983124983109983108 983123983124983105983124983109983123
In the early 90s the state of New York sued the
federal government asserting provisions in the
Low-Level Radioactive Waste Policy
Amendments Act of 1985 were coercive and
violated its sovereignty under the Tenth
Amendment The Court majority in New York v
United States (1992) agreed holding that
ldquobecause the Actrsquos take title provision offers theStates a lsquochoicersquo between the two
unconstitutionally coercive alternativesndasheither
accepting ownership of waste or regulating
according to Congressrsquo instructionsndashthe provision
lies outside Congressrsquo enumerated powers and is
inconsistent with the Tenth Amendmentrdquo
Sandra Day OrsquoConnor wrote for the majority in the
6-3 decision
983105983155 983137983150 983145983150983145983156983145983137983148 983149983137983156983156983141983154 983107983151983150983143983154983141983155983155 983149983137983161
983150983151983156 983155983145983149983152983148983161 991260983139983151983149983149983137983150983140983141983141983131983154983133 983156983144983141
983148983141983143983145983155983148983137983156983145983158983141 983152983154983151983139983141983155983155983141983155 983151983142 983156983144983141 983123983156983137983156983141983155 983138983161
983140983145983154983141983139983156983148983161 983139983151983149983152983141983148983148983145983150983143 983156983144983141983149 983156983151 983141983150983137983139983156
983137983150983140 983141983150983142983151983154983139983141 983137 983142983141983140983141983154983137983148 983154983141983143983157983148983137983156983151983154983161
983152983154983151983143983154983137983149991261
She later expounded on this point
983127983144983145983148983141 983107983151983150983143983154983141983155983155 983144983137983155 983155983157983138983155983156983137983150983156983145983137983148
983152983151983159983141983154983155 983156983151 983143983151983158983141983154983150 983156983144983141 983118983137983156983145983151983150 983140983145983154983141983139983156983148983161
983145983150983139983148983157983140983145983150983143 983145983150 983137983154983141983137983155 983151983142 983145983150983156983145983149983137983156983141 983139983151983150983139983141983154983150
983156983151 983156983144983141 983123983156983137983156983141983155 983156983144983141 983107983151983150983155983156983145983156983157983156983145983151983150 983144983137983155
983150983141983158983141983154 983138983141983141983150 983157983150983140983141983154983155983156983151983151983140 983156983151 983139983151983150983142983141983154
983157983152983151983150 983107983151983150983143983154983141983155983155 983156983144983141 983137983138983145983148983145983156983161 983156983151 983154983141983153983157983145983154983141
983156983144983141 983123983156983137983156983141983155 983156983151 983143983151983158983141983154983150 983137983139983139983151983154983140983145983150983143 983156983151
983107983151983150983143983154983141983155983155991257 983145983150983155983156983154983157983139983156983145983151983150983155
OrsquoConnor argues that standing alone both
options offered to the State of New York for
dealing with radioactive waste in the act
represented an unconstitutional overreach
Therefore forcing the state to choose between
the two is also unconstitutional
983105 983139983144983151983145983139983141 983138983141983156983159983141983141983150 983156983159983151
983157983150983139983151983150983155983156983145983156983157983156983145983151983150983137983148983148983161 983139983151983141983154983139983145983158983141
983154983141983143983157983148983137983156983151983154983161 983156983141983139983144983150983145983153983157983141983155 983145983155 983150983151 983139983144983151983145983139983141 983137983156
983137983148983148 983109983145983156983144983141983154 983159983137983161 991260983156983144983141 983105983139983156
983139983151983149983149983137983150983140983141983141983154983155 983156983144983141 983148983141983143983145983155983148983137983156983145983158983141
983152983154983151983139983141983155983155983141983155 983151983142 983156983144983141 983123983156983137983156983141983155 983138983161 983140983145983154983141983139983156983148983161
983139983151983149983152983141983148983148983145983150983143 983156983144983141983149 983156983151 983141983150983137983139983156 983137983150983140
983141983150983142983151983154983139983141 983137 983142983141983140983141983154983137983148 983154983141983143983157983148983137983156983151983154983161
983152983154983151983143983154983137983149991261
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 715
983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983094
983107983105983123983109983098 983120983122983113983118983124983130 983158983086 983125983118983113983124983109983108 983123983124983105983124983109983123
Printz v United States (1997) serves as the
modern lynchpin for the anti-commandeering
doctrine At issue was a provision in the Brady
Gun Bill that required county law enforcement
officers to administer part of the background
check program
Sheriffs Jay Printz and Richard Mack sued
arguing these provisions unconstitutionally
forced them to administer a federal program
Justice Antonin Scalia agreed writing in the
majority opinion ldquoit is apparent that the Brady Act
purports to direct state law enforcement officers
to participate albeit only temporarily in the
administration of a federally enacted regulatory
schemerdquo
Citing the New York case the court majority
declared this provision of the Brady Gun Bill
unconstitutional expanding the reach of the anti-
commandeering doctrine
983127983141 983144983141983148983140 983145983150 983118983141983159
983129983151983154983147 983156983144983137983156 983107983151983150983143983154983141983155983155
983139983137983150983150983151983156 983139983151983149983152983141983148 983156983144983141
983123983156983137983156983141983155 983156983151 983141983150983137983139983156 983151983154
983141983150983142983151983154983139983141 983137 983142983141983140983141983154983137983148983154983141983143983157983148983137983156983151983154983161 983152983154983151983143983154983137983149
983124983151983140983137983161 983159983141 983144983151983148983140 983156983144983137983156
983107983151983150983143983154983141983155983155 983139983137983150983150983151983156
983139983145983154983139983157983149983158983141983150983156 983156983144983137983156
983152983154983151983144983145983138983145983156983145983151983150 983138983161
983139983151983150983155983139983154983145983152983156983145983150983143 983156983144983141 983123983156983137983156983141983155991257
983151983142983142983145983139983141983154983155 983140983145983154983141983139983156983148983161
983124983144983141 983110983141983140983141983154983137983148 983111983151983158983141983154983150983149983141983150983156 983149983137983161 983150983141983145983156983144983141983154
983145983155983155983157983141 983140983145983154983141983139983156983145983158983141983155 983154983141983153983157983145983154983145983150983143 983156983144983141 983123983156983137983156983141983155983156983151 983137983140983140983154983141983155983155 983152983137983154983156983145983139983157983148983137983154 983152983154983151983138983148983141983149983155 983150983151983154
983139983151983149983149983137983150983140 983156983144983141 983123983156983137983156983141983155991257 983151983142983142983145983139983141983154983155 983151983154
983156983144983151983155983141 983151983142 983156983144983141983145983154 983152983151983148983145983156983145983139983137983148 983155983157983138983140983145983158983145983155983145983151983150983155
983156983151 983137983140983149983145983150983145983155983156983141983154 983151983154 983141983150983142983151983154983139983141 983137 983142983141983140983141983154983137983148
983154983141983143983157983148983137983156983151983154983161 983152983154983151983143983154983137983149 983113983156 983149983137983156983156983141983154983155 983150983151983156
983159983144983141983156983144983141983154 983152983151983148983145983139983161983149983137983147983145983150983143 983145983155 983145983150983158983151983148983158983141983140
983137983150983140 983150983151 983139983137983155983141983085983138983161983139983137983155983141 983159983141983145983143983144983145983150983143 983151983142 983156983144983141
983138983157983154983140983141983150983155 983151983154 983138983141983150983141983142983145983156983155 983145983155 983150983141983139983141983155983155983137983154983161983099
983155983157983139983144 983139983151983149983149983137983150983140983155 983137983154983141 983142983157983150983140983137983149983141983150983156983137983148983148983161
983145983150983139983151983149983152983137983156983145983138983148983141 983159983145983156983144 983151983157983154 983139983151983150983155983156983145983156983157983156983145983151983150983137983148983155983161983155983156983141983149 983151983142 983140983157983137983148 983155983151983158983141983154983141983145983143983150983156983161
983107983105983123983109983098 983118983110983113983106 983158983086 983123983109983106983109983116983113983125983123
Finally the Court held that the federal
government cannot force the states to act
against their will by withholding funds in a
coercive manner
In Independent Business v Sebelius (2012) the
Court held that the federal government can not
compel states to expand Medicaid by threatening
to withhold funding for Medicaid programs
already in place
991260983107983151983150983143983154983141983155983155 983139983137983150983150983151983156
983139983151983149983152983141983148 983156983144983141 983123983156983137983156983141983155 983156983151
983141983150983137983139983156 983151983154 983141983150983142983151983154983139983141 983137
983142983141983140983141983154983137983148 983154983141983143983157983148983137983156983151983154983161
983152983154983151983143983154983137983149983086991261
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 815
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 7
Justice Robert Kennedy argued that allowing
Congress to essentially punish states that
refused to go along violates constitutional
separation of powers
983124983144983141 983148983141983143983145983156983145983149983137983139983161 983151983142 983107983151983150983143983154983141983155983155991257983155 983141983160983141983154983139983145983155983141
983151983142 983156983144983141 983155983152983141983150983140983145983150983143 983152983151983159983141983154 991260983156983144983157983155 983154983141983155983156983155 983151983150
983159983144983141983156983144983141983154 983156983144983141 983123983156983137983156983141 983158983151983148983157983150983156983137983154983145983148983161 983137983150983140
983147983150983151983159983145983150983143983148983161 983137983139983139983141983152983156983155 983156983144983141 983156983141983154983149983155 983151983142 983156983144983141
991256983139983151983150983156983154983137983139983156991257 991261 983120983141983150983150983144983157983154983155983156 983155983157983152983154983137 983137983156 17
983122983141983155983152983141983139983156983145983150983143 983156983144983145983155 983148983145983149983145983156983137983156983145983151983150 983145983155 983139983154983145983156983145983139983137983148 983156983151
983141983150983155983157983154983145983150983143 983156983144983137983156 983123983152983141983150983140983145983150983143 983107983148983137983157983155983141
983148983141983143983145983155983148983137983156983145983151983150 983140983151983141983155 983150983151983156 983157983150983140983141983154983149983145983150983141 983156983144983141983155983156983137983156983157983155 983151983142 983156983144983141 983123983156983137983156983141983155 983137983155 983145983150983140983141983152983141983150983140983141983150983156
983155983151983158983141983154983141983145983143983150983155 983145983150 983151983157983154 983142983141983140983141983154983137983148 983155983161983155983156983141983149
983124983144983137983156 983155983161983155983156983141983149 991260983154983141983155983156983155 983151983150 983159983144983137983156 983149983145983143983144983156 983137983156
983142983145983154983155983156 983155983141983141983149 983137 983139983151983157983150983156983141983154983145983150983156983157983145983156983145983158983141 983145983150983155983145983143983144983156
983156983144983137983156 991256983142983154983141983141983140983151983149 983145983155 983141983150983144983137983150983139983141983140 983138983161 983156983144983141
983139983154983141983137983156983145983151983150 983151983142 983156983159983151 983143983151983158983141983154983150983149983141983150983156983155 983150983151983156
983151983150983141991257 991261 983106983151983150983140 564 983125 983123 983137983156 983135983135983135 (983155983148983145983152
983151983152 983137983156 8) (983153983157983151983156983145983150983143 A983148983140983141983150 983158 983117983137983145983150983141
527 983125 983123 706 758 (1999) )
983110983151983154 983156983144983145983155 983154983141983137983155983151983150 991260983156983144983141 983107983151983150983155983156983145983156983157983156983145983151983150 983144983137983155
983150983141983158983141983154 983138983141983141983150 983157983150983140983141983154983155983156983151983151983140 983156983151 983139983151983150983142983141983154
983157983152983151983150 983107983151983150983143983154983141983155983155 983156983144983141 983137983138983145983148983145983156983161 983156983151 983154983141983153983157983145983154983141
983156983144983141 983123983156983137983156983141983155 983156983151 983143983151983158983141983154983150 983137983139983139983151983154983140983145983150983143 983156983151
983107983151983150983143983154983141983155983155991257 983145983150983155983156983154983157983139983156983145983151983150983155991261 983118983141983159 983129983151983154983147
983155983157983152983154983137 983137983156 162
983119983156983144983141983154983159983145983155983141 983156983144983141 983156983159983151983085983143983151983158983141983154983150983149983141983150983156
983155983161983155983156983141983149 983141983155983156983137983138983148983145983155983144983141983140 983138983161 983156983144983141 983110983154983137983149983141983154983155983159983151983157983148983140 983143983145983158983141 983159983137983161 983156983151 983137 983155983161983155983156983141983149 983156983144983137983156 983158983141983155983156983155
983152983151983159983141983154 983145983150 983151983150983141 983139983141983150983156983154983137983148 983143983151983158983141983154983150983149983141983150983156
983137983150983140 983145983150983140983145983158983145983140983157983137983148 983148983145983138983141983154983156983161 983159983151983157983148983140 983155983157983142983142983141983154
983092 983125 983105983123983123
983113983150 983156983144983141983155983141 983142983151983157983154 983139983137983155983141983155 983156983144983141 983123983157983152983154983141983149983141
983107983151983157983154983156 983144983137983155 983144983141983148983140 983139983151983150983155983145983155983156983141983150983156983148983161 983156983144983137983156
983156983144983141 983142983141983140983141983154983137983148 983143983151983158983141983154983150983149983141983150983156 983139983137983150983150983151983156
983139983151983149983152983141983148 983156983144983141 983155983156983137983156983141983155 983156983151 983139983137983154983154983161 983151983157983156
983142983141983140983141983154983137983148 983137983139983156983155
bull 983120983154983145983143983143 1842
bull 983118983141983159 983129983151983154983147 1992
bull 983120983154983145983150983156983162 1997
bull 983118983110983113983106 2012
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 915
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 8
Taken together these four cases firmly establish
a legal doctrine holding that the federal
government has no authority to force states to
cooperate in implementing or enforcing its acts
Legal experts cannot dispute the legitimacy of
this version of nullification through
noncooperation
James Madison himself offered this as the
blueprint for resisting federal power
in Federalist 46
The ldquoFather of the Constitutionrdquo outlined several
steps states can take to stop ldquoan unwarrantable
measurerdquo or ldquoeven a warrantable measurerdquo of
the federal government
Anticipating the anti-commandeering doctrine
Madison advised a ldquorefusal to cooperate with
officers of the Unionrdquo as a way to effectively
thwart federal acts which the people of a state
may see as being either unconstitutional or
merely unpopular
Madisonrsquos blueprint supported by the anti-
commandeering doctrine provides a powerful tool
that states can use to stop unconstitutional
federal acts in their tracks
In fact during the federal government shutdown
the National Association of Governors admitted
ldquoStates are partners with the federal government
in implementing most federal programsrdquo
That means states can create impediments to
enforcing and implementing ldquomost federal
programsrdquo
By simply refusing to provide material support to
the Affordable Care Act states have the power to
render these actions unenforceable
Even the Supreme Court agrees
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1015
983105983118983113 983113983123983105983113983118
Please direct any questions to infotenthamendmentcentercom or call 2139350553
983105983081 983106983105983118 983123983124983105983124983109 983107983119983119983120983109983122983105983124983113983119983118
An Act to ban state enforcement participation or material support with certain
unconstitutional laws enacted by the Congress of the United States taking control over
the health insurance industry and mandating that individuals purchase health insurance
under threat of penalty
SECTION 1 The legislature of the State of ____________ finds that
1 The People of the several states comprising the United States of America created the federal
government to be their agent for certain enumerated purposes and nothing more
2 The Tenth Amendment to the United States Constitution defines the total scope of federal
power as being that which has been delegated by the people of the several states to the federal
government and all power not delegated to the federal government in the Constitution of the
United States is reserved to the states respectively or to the people themselves
3 The assumption of power that the federal government has made by enacting the ldquoPatient
Protection and Affordable Care Actrdquo interferes with the right of the People of the State of _____________ to regulate health care as they see fit and makes a mockery of James
Madisonrsquos assurance in Federalist 45 that the ldquopowers delegatedrdquo to the Federal Government
are ldquofew and definedrdquo while those of the States are ldquonumerous and indefiniterdquo
SECTION 2 NEW LAW PROHIBITION ON ENFORCEMENT PARTICIPATION AND
MATERIAL SUPPORT IN CERTAIN FEDERAL ACTS
A new section of law to be codified in the [STATE] Statutes as Section [NUMBER] of Title
[NUMBER] unless there is created a duplication in numbering reads as follows
A Notwithstanding any law regulation rule or order to the contrary no agency of this state
political subdivision of this state or employee of an agency or political subdivision of this state
acting in his or her official capacity or corporation providing services on behalf of this state or a
political subdivision of this state shall
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1115
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 1
(1) Enforce any federal act law order rule or regulation of the federal government of the United
States designed to give effect to the Patient Protection and Affordable Care Act signed by
President Barack Obama on March 23 2010
(2) Provide material support participation or assistance in any form with any federal agency oremployee engaged in the enforcement of any federal act law order rule or regulation of the
federal government of the United States designed to give effect to the Patient Protection and
Affordable Care Act
(3) Utilize any assets state funds or funds allocated by the state to local entities on or after
(DATE) in whole or in part to engage in any activity that aids a federal agency federal agent
or corporation providing services to the federal government in the enforcement of any federal
act law order rule or regulation of the federal government of the United States designed to
give effect to the Patient Protection and Affordable Care Act
SECTION 3 PENALTIES
A A political subdivision of this state may not receive state grant funds if the political subdivision
adopts a rule order ordinance or policy under which the political subdivision violates Section 2
of this Act State grant funds for the political subdivision shall be denied for the fiscal year
following the year in which a final judicial determination in an action brought under this section is
made that the political subdivision has intentionally required actions which violate the
prohibitions in Section 2 of this Act
B Any agent or employee of this state or of any political subdivision of this state who knowinglyviolates the prohibitions in Section 2 of this act shall be deemed to have resigned any
commission from the State of (STATE) which he or she may possess his or her office shall be
deemed vacant and he or she shall be forever thereafter ineligible to any office of trust honor
or emolument under the laws of this State
C Any corporation or person that provides services to or on behalf of this state and violates the
prohibitions of Section 2 of this act shall be forever ineligible to act on behalf of or provide
services to this state or any political subdivision of this state
SECTION 4 SEVERABILITY
The provisions of this act are severable If any part of this act is declared invalid or
unconstitutional that declaration shall not affect the part which remains
SECTION 5 EFFECTIVE DATE
A This act takes effect upon approval by the Governor
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1215
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1315
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1415
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 715
983112983119983127 983123983124983105983124983109983123 983107983105983118 983123983124983119983120 983124983112983109 983105983110983110983119983122983108983105983106983116983109 983107983105983122983109 983105983107983124
983124983141983150983156983144 983105983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 983105983142983142983151983154983140983137983138983148983141 983107983137983154983141 983105983139983156 983094
983107983105983123983109983098 983120983122983113983118983124983130 983158983086 983125983118983113983124983109983108 983123983124983105983124983109983123
Printz v United States (1997) serves as the
modern lynchpin for the anti-commandeering
doctrine At issue was a provision in the Brady
Gun Bill that required county law enforcement
officers to administer part of the background
check program
Sheriffs Jay Printz and Richard Mack sued
arguing these provisions unconstitutionally
forced them to administer a federal program
Justice Antonin Scalia agreed writing in the
majority opinion ldquoit is apparent that the Brady Act
purports to direct state law enforcement officers
to participate albeit only temporarily in the
administration of a federally enacted regulatory
schemerdquo
Citing the New York case the court majority
declared this provision of the Brady Gun Bill
unconstitutional expanding the reach of the anti-
commandeering doctrine
983127983141 983144983141983148983140 983145983150 983118983141983159
983129983151983154983147 983156983144983137983156 983107983151983150983143983154983141983155983155
983139983137983150983150983151983156 983139983151983149983152983141983148 983156983144983141
983123983156983137983156983141983155 983156983151 983141983150983137983139983156 983151983154
983141983150983142983151983154983139983141 983137 983142983141983140983141983154983137983148983154983141983143983157983148983137983156983151983154983161 983152983154983151983143983154983137983149
983124983151983140983137983161 983159983141 983144983151983148983140 983156983144983137983156
983107983151983150983143983154983141983155983155 983139983137983150983150983151983156
983139983145983154983139983157983149983158983141983150983156 983156983144983137983156
983152983154983151983144983145983138983145983156983145983151983150 983138983161
983139983151983150983155983139983154983145983152983156983145983150983143 983156983144983141 983123983156983137983156983141983155991257
983151983142983142983145983139983141983154983155 983140983145983154983141983139983156983148983161
983124983144983141 983110983141983140983141983154983137983148 983111983151983158983141983154983150983149983141983150983156 983149983137983161 983150983141983145983156983144983141983154
983145983155983155983157983141 983140983145983154983141983139983156983145983158983141983155 983154983141983153983157983145983154983145983150983143 983156983144983141 983123983156983137983156983141983155983156983151 983137983140983140983154983141983155983155 983152983137983154983156983145983139983157983148983137983154 983152983154983151983138983148983141983149983155 983150983151983154
983139983151983149983149983137983150983140 983156983144983141 983123983156983137983156983141983155991257 983151983142983142983145983139983141983154983155 983151983154
983156983144983151983155983141 983151983142 983156983144983141983145983154 983152983151983148983145983156983145983139983137983148 983155983157983138983140983145983158983145983155983145983151983150983155
983156983151 983137983140983149983145983150983145983155983156983141983154 983151983154 983141983150983142983151983154983139983141 983137 983142983141983140983141983154983137983148
983154983141983143983157983148983137983156983151983154983161 983152983154983151983143983154983137983149 983113983156 983149983137983156983156983141983154983155 983150983151983156
983159983144983141983156983144983141983154 983152983151983148983145983139983161983149983137983147983145983150983143 983145983155 983145983150983158983151983148983158983141983140
983137983150983140 983150983151 983139983137983155983141983085983138983161983139983137983155983141 983159983141983145983143983144983145983150983143 983151983142 983156983144983141
983138983157983154983140983141983150983155 983151983154 983138983141983150983141983142983145983156983155 983145983155 983150983141983139983141983155983155983137983154983161983099
983155983157983139983144 983139983151983149983149983137983150983140983155 983137983154983141 983142983157983150983140983137983149983141983150983156983137983148983148983161
983145983150983139983151983149983152983137983156983145983138983148983141 983159983145983156983144 983151983157983154 983139983151983150983155983156983145983156983157983156983145983151983150983137983148983155983161983155983156983141983149 983151983142 983140983157983137983148 983155983151983158983141983154983141983145983143983150983156983161
983107983105983123983109983098 983118983110983113983106 983158983086 983123983109983106983109983116983113983125983123
Finally the Court held that the federal
government cannot force the states to act
against their will by withholding funds in a
coercive manner
In Independent Business v Sebelius (2012) the
Court held that the federal government can not
compel states to expand Medicaid by threatening
to withhold funding for Medicaid programs
already in place
991260983107983151983150983143983154983141983155983155 983139983137983150983150983151983156
983139983151983149983152983141983148 983156983144983141 983123983156983137983156983141983155 983156983151
983141983150983137983139983156 983151983154 983141983150983142983151983154983139983141 983137
983142983141983140983141983154983137983148 983154983141983143983157983148983137983156983151983154983161
983152983154983151983143983154983137983149983086991261
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 815
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 7
Justice Robert Kennedy argued that allowing
Congress to essentially punish states that
refused to go along violates constitutional
separation of powers
983124983144983141 983148983141983143983145983156983145983149983137983139983161 983151983142 983107983151983150983143983154983141983155983155991257983155 983141983160983141983154983139983145983155983141
983151983142 983156983144983141 983155983152983141983150983140983145983150983143 983152983151983159983141983154 991260983156983144983157983155 983154983141983155983156983155 983151983150
983159983144983141983156983144983141983154 983156983144983141 983123983156983137983156983141 983158983151983148983157983150983156983137983154983145983148983161 983137983150983140
983147983150983151983159983145983150983143983148983161 983137983139983139983141983152983156983155 983156983144983141 983156983141983154983149983155 983151983142 983156983144983141
991256983139983151983150983156983154983137983139983156991257 991261 983120983141983150983150983144983157983154983155983156 983155983157983152983154983137 983137983156 17
983122983141983155983152983141983139983156983145983150983143 983156983144983145983155 983148983145983149983145983156983137983156983145983151983150 983145983155 983139983154983145983156983145983139983137983148 983156983151
983141983150983155983157983154983145983150983143 983156983144983137983156 983123983152983141983150983140983145983150983143 983107983148983137983157983155983141
983148983141983143983145983155983148983137983156983145983151983150 983140983151983141983155 983150983151983156 983157983150983140983141983154983149983145983150983141 983156983144983141983155983156983137983156983157983155 983151983142 983156983144983141 983123983156983137983156983141983155 983137983155 983145983150983140983141983152983141983150983140983141983150983156
983155983151983158983141983154983141983145983143983150983155 983145983150 983151983157983154 983142983141983140983141983154983137983148 983155983161983155983156983141983149
983124983144983137983156 983155983161983155983156983141983149 991260983154983141983155983156983155 983151983150 983159983144983137983156 983149983145983143983144983156 983137983156
983142983145983154983155983156 983155983141983141983149 983137 983139983151983157983150983156983141983154983145983150983156983157983145983156983145983158983141 983145983150983155983145983143983144983156
983156983144983137983156 991256983142983154983141983141983140983151983149 983145983155 983141983150983144983137983150983139983141983140 983138983161 983156983144983141
983139983154983141983137983156983145983151983150 983151983142 983156983159983151 983143983151983158983141983154983150983149983141983150983156983155 983150983151983156
983151983150983141991257 991261 983106983151983150983140 564 983125 983123 983137983156 983135983135983135 (983155983148983145983152
983151983152 983137983156 8) (983153983157983151983156983145983150983143 A983148983140983141983150 983158 983117983137983145983150983141
527 983125 983123 706 758 (1999) )
983110983151983154 983156983144983145983155 983154983141983137983155983151983150 991260983156983144983141 983107983151983150983155983156983145983156983157983156983145983151983150 983144983137983155
983150983141983158983141983154 983138983141983141983150 983157983150983140983141983154983155983156983151983151983140 983156983151 983139983151983150983142983141983154
983157983152983151983150 983107983151983150983143983154983141983155983155 983156983144983141 983137983138983145983148983145983156983161 983156983151 983154983141983153983157983145983154983141
983156983144983141 983123983156983137983156983141983155 983156983151 983143983151983158983141983154983150 983137983139983139983151983154983140983145983150983143 983156983151
983107983151983150983143983154983141983155983155991257 983145983150983155983156983154983157983139983156983145983151983150983155991261 983118983141983159 983129983151983154983147
983155983157983152983154983137 983137983156 162
983119983156983144983141983154983159983145983155983141 983156983144983141 983156983159983151983085983143983151983158983141983154983150983149983141983150983156
983155983161983155983156983141983149 983141983155983156983137983138983148983145983155983144983141983140 983138983161 983156983144983141 983110983154983137983149983141983154983155983159983151983157983148983140 983143983145983158983141 983159983137983161 983156983151 983137 983155983161983155983156983141983149 983156983144983137983156 983158983141983155983156983155
983152983151983159983141983154 983145983150 983151983150983141 983139983141983150983156983154983137983148 983143983151983158983141983154983150983149983141983150983156
983137983150983140 983145983150983140983145983158983145983140983157983137983148 983148983145983138983141983154983156983161 983159983151983157983148983140 983155983157983142983142983141983154
983092 983125 983105983123983123
983113983150 983156983144983141983155983141 983142983151983157983154 983139983137983155983141983155 983156983144983141 983123983157983152983154983141983149983141
983107983151983157983154983156 983144983137983155 983144983141983148983140 983139983151983150983155983145983155983156983141983150983156983148983161 983156983144983137983156
983156983144983141 983142983141983140983141983154983137983148 983143983151983158983141983154983150983149983141983150983156 983139983137983150983150983151983156
983139983151983149983152983141983148 983156983144983141 983155983156983137983156983141983155 983156983151 983139983137983154983154983161 983151983157983156
983142983141983140983141983154983137983148 983137983139983156983155
bull 983120983154983145983143983143 1842
bull 983118983141983159 983129983151983154983147 1992
bull 983120983154983145983150983156983162 1997
bull 983118983110983113983106 2012
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 915
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 8
Taken together these four cases firmly establish
a legal doctrine holding that the federal
government has no authority to force states to
cooperate in implementing or enforcing its acts
Legal experts cannot dispute the legitimacy of
this version of nullification through
noncooperation
James Madison himself offered this as the
blueprint for resisting federal power
in Federalist 46
The ldquoFather of the Constitutionrdquo outlined several
steps states can take to stop ldquoan unwarrantable
measurerdquo or ldquoeven a warrantable measurerdquo of
the federal government
Anticipating the anti-commandeering doctrine
Madison advised a ldquorefusal to cooperate with
officers of the Unionrdquo as a way to effectively
thwart federal acts which the people of a state
may see as being either unconstitutional or
merely unpopular
Madisonrsquos blueprint supported by the anti-
commandeering doctrine provides a powerful tool
that states can use to stop unconstitutional
federal acts in their tracks
In fact during the federal government shutdown
the National Association of Governors admitted
ldquoStates are partners with the federal government
in implementing most federal programsrdquo
That means states can create impediments to
enforcing and implementing ldquomost federal
programsrdquo
By simply refusing to provide material support to
the Affordable Care Act states have the power to
render these actions unenforceable
Even the Supreme Court agrees
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1015
983105983118983113 983113983123983105983113983118
Please direct any questions to infotenthamendmentcentercom or call 2139350553
983105983081 983106983105983118 983123983124983105983124983109 983107983119983119983120983109983122983105983124983113983119983118
An Act to ban state enforcement participation or material support with certain
unconstitutional laws enacted by the Congress of the United States taking control over
the health insurance industry and mandating that individuals purchase health insurance
under threat of penalty
SECTION 1 The legislature of the State of ____________ finds that
1 The People of the several states comprising the United States of America created the federal
government to be their agent for certain enumerated purposes and nothing more
2 The Tenth Amendment to the United States Constitution defines the total scope of federal
power as being that which has been delegated by the people of the several states to the federal
government and all power not delegated to the federal government in the Constitution of the
United States is reserved to the states respectively or to the people themselves
3 The assumption of power that the federal government has made by enacting the ldquoPatient
Protection and Affordable Care Actrdquo interferes with the right of the People of the State of _____________ to regulate health care as they see fit and makes a mockery of James
Madisonrsquos assurance in Federalist 45 that the ldquopowers delegatedrdquo to the Federal Government
are ldquofew and definedrdquo while those of the States are ldquonumerous and indefiniterdquo
SECTION 2 NEW LAW PROHIBITION ON ENFORCEMENT PARTICIPATION AND
MATERIAL SUPPORT IN CERTAIN FEDERAL ACTS
A new section of law to be codified in the [STATE] Statutes as Section [NUMBER] of Title
[NUMBER] unless there is created a duplication in numbering reads as follows
A Notwithstanding any law regulation rule or order to the contrary no agency of this state
political subdivision of this state or employee of an agency or political subdivision of this state
acting in his or her official capacity or corporation providing services on behalf of this state or a
political subdivision of this state shall
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1115
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 1
(1) Enforce any federal act law order rule or regulation of the federal government of the United
States designed to give effect to the Patient Protection and Affordable Care Act signed by
President Barack Obama on March 23 2010
(2) Provide material support participation or assistance in any form with any federal agency oremployee engaged in the enforcement of any federal act law order rule or regulation of the
federal government of the United States designed to give effect to the Patient Protection and
Affordable Care Act
(3) Utilize any assets state funds or funds allocated by the state to local entities on or after
(DATE) in whole or in part to engage in any activity that aids a federal agency federal agent
or corporation providing services to the federal government in the enforcement of any federal
act law order rule or regulation of the federal government of the United States designed to
give effect to the Patient Protection and Affordable Care Act
SECTION 3 PENALTIES
A A political subdivision of this state may not receive state grant funds if the political subdivision
adopts a rule order ordinance or policy under which the political subdivision violates Section 2
of this Act State grant funds for the political subdivision shall be denied for the fiscal year
following the year in which a final judicial determination in an action brought under this section is
made that the political subdivision has intentionally required actions which violate the
prohibitions in Section 2 of this Act
B Any agent or employee of this state or of any political subdivision of this state who knowinglyviolates the prohibitions in Section 2 of this act shall be deemed to have resigned any
commission from the State of (STATE) which he or she may possess his or her office shall be
deemed vacant and he or she shall be forever thereafter ineligible to any office of trust honor
or emolument under the laws of this State
C Any corporation or person that provides services to or on behalf of this state and violates the
prohibitions of Section 2 of this act shall be forever ineligible to act on behalf of or provide
services to this state or any political subdivision of this state
SECTION 4 SEVERABILITY
The provisions of this act are severable If any part of this act is declared invalid or
unconstitutional that declaration shall not affect the part which remains
SECTION 5 EFFECTIVE DATE
A This act takes effect upon approval by the Governor
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1315
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
8132019 How States Can Stop Obamacare Handbook for State Legislators
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983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 815
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 7
Justice Robert Kennedy argued that allowing
Congress to essentially punish states that
refused to go along violates constitutional
separation of powers
983124983144983141 983148983141983143983145983156983145983149983137983139983161 983151983142 983107983151983150983143983154983141983155983155991257983155 983141983160983141983154983139983145983155983141
983151983142 983156983144983141 983155983152983141983150983140983145983150983143 983152983151983159983141983154 991260983156983144983157983155 983154983141983155983156983155 983151983150
983159983144983141983156983144983141983154 983156983144983141 983123983156983137983156983141 983158983151983148983157983150983156983137983154983145983148983161 983137983150983140
983147983150983151983159983145983150983143983148983161 983137983139983139983141983152983156983155 983156983144983141 983156983141983154983149983155 983151983142 983156983144983141
991256983139983151983150983156983154983137983139983156991257 991261 983120983141983150983150983144983157983154983155983156 983155983157983152983154983137 983137983156 17
983122983141983155983152983141983139983156983145983150983143 983156983144983145983155 983148983145983149983145983156983137983156983145983151983150 983145983155 983139983154983145983156983145983139983137983148 983156983151
983141983150983155983157983154983145983150983143 983156983144983137983156 983123983152983141983150983140983145983150983143 983107983148983137983157983155983141
983148983141983143983145983155983148983137983156983145983151983150 983140983151983141983155 983150983151983156 983157983150983140983141983154983149983145983150983141 983156983144983141983155983156983137983156983157983155 983151983142 983156983144983141 983123983156983137983156983141983155 983137983155 983145983150983140983141983152983141983150983140983141983150983156
983155983151983158983141983154983141983145983143983150983155 983145983150 983151983157983154 983142983141983140983141983154983137983148 983155983161983155983156983141983149
983124983144983137983156 983155983161983155983156983141983149 991260983154983141983155983156983155 983151983150 983159983144983137983156 983149983145983143983144983156 983137983156
983142983145983154983155983156 983155983141983141983149 983137 983139983151983157983150983156983141983154983145983150983156983157983145983156983145983158983141 983145983150983155983145983143983144983156
983156983144983137983156 991256983142983154983141983141983140983151983149 983145983155 983141983150983144983137983150983139983141983140 983138983161 983156983144983141
983139983154983141983137983156983145983151983150 983151983142 983156983159983151 983143983151983158983141983154983150983149983141983150983156983155 983150983151983156
983151983150983141991257 991261 983106983151983150983140 564 983125 983123 983137983156 983135983135983135 (983155983148983145983152
983151983152 983137983156 8) (983153983157983151983156983145983150983143 A983148983140983141983150 983158 983117983137983145983150983141
527 983125 983123 706 758 (1999) )
983110983151983154 983156983144983145983155 983154983141983137983155983151983150 991260983156983144983141 983107983151983150983155983156983145983156983157983156983145983151983150 983144983137983155
983150983141983158983141983154 983138983141983141983150 983157983150983140983141983154983155983156983151983151983140 983156983151 983139983151983150983142983141983154
983157983152983151983150 983107983151983150983143983154983141983155983155 983156983144983141 983137983138983145983148983145983156983161 983156983151 983154983141983153983157983145983154983141
983156983144983141 983123983156983137983156983141983155 983156983151 983143983151983158983141983154983150 983137983139983139983151983154983140983145983150983143 983156983151
983107983151983150983143983154983141983155983155991257 983145983150983155983156983154983157983139983156983145983151983150983155991261 983118983141983159 983129983151983154983147
983155983157983152983154983137 983137983156 162
983119983156983144983141983154983159983145983155983141 983156983144983141 983156983159983151983085983143983151983158983141983154983150983149983141983150983156
983155983161983155983156983141983149 983141983155983156983137983138983148983145983155983144983141983140 983138983161 983156983144983141 983110983154983137983149983141983154983155983159983151983157983148983140 983143983145983158983141 983159983137983161 983156983151 983137 983155983161983155983156983141983149 983156983144983137983156 983158983141983155983156983155
983152983151983159983141983154 983145983150 983151983150983141 983139983141983150983156983154983137983148 983143983151983158983141983154983150983149983141983150983156
983137983150983140 983145983150983140983145983158983145983140983157983137983148 983148983145983138983141983154983156983161 983159983151983157983148983140 983155983157983142983142983141983154
983092 983125 983105983123983123
983113983150 983156983144983141983155983141 983142983151983157983154 983139983137983155983141983155 983156983144983141 983123983157983152983154983141983149983141
983107983151983157983154983156 983144983137983155 983144983141983148983140 983139983151983150983155983145983155983156983141983150983156983148983161 983156983144983137983156
983156983144983141 983142983141983140983141983154983137983148 983143983151983158983141983154983150983149983141983150983156 983139983137983150983150983151983156
983139983151983149983152983141983148 983156983144983141 983155983156983137983156983141983155 983156983151 983139983137983154983154983161 983151983157983156
983142983141983140983141983154983137983148 983137983139983156983155
bull 983120983154983145983143983143 1842
bull 983118983141983159 983129983151983154983147 1992
bull 983120983154983145983150983156983162 1997
bull 983118983110983113983106 2012
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 915
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 8
Taken together these four cases firmly establish
a legal doctrine holding that the federal
government has no authority to force states to
cooperate in implementing or enforcing its acts
Legal experts cannot dispute the legitimacy of
this version of nullification through
noncooperation
James Madison himself offered this as the
blueprint for resisting federal power
in Federalist 46
The ldquoFather of the Constitutionrdquo outlined several
steps states can take to stop ldquoan unwarrantable
measurerdquo or ldquoeven a warrantable measurerdquo of
the federal government
Anticipating the anti-commandeering doctrine
Madison advised a ldquorefusal to cooperate with
officers of the Unionrdquo as a way to effectively
thwart federal acts which the people of a state
may see as being either unconstitutional or
merely unpopular
Madisonrsquos blueprint supported by the anti-
commandeering doctrine provides a powerful tool
that states can use to stop unconstitutional
federal acts in their tracks
In fact during the federal government shutdown
the National Association of Governors admitted
ldquoStates are partners with the federal government
in implementing most federal programsrdquo
That means states can create impediments to
enforcing and implementing ldquomost federal
programsrdquo
By simply refusing to provide material support to
the Affordable Care Act states have the power to
render these actions unenforceable
Even the Supreme Court agrees
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1015
983105983118983113 983113983123983105983113983118
Please direct any questions to infotenthamendmentcentercom or call 2139350553
983105983081 983106983105983118 983123983124983105983124983109 983107983119983119983120983109983122983105983124983113983119983118
An Act to ban state enforcement participation or material support with certain
unconstitutional laws enacted by the Congress of the United States taking control over
the health insurance industry and mandating that individuals purchase health insurance
under threat of penalty
SECTION 1 The legislature of the State of ____________ finds that
1 The People of the several states comprising the United States of America created the federal
government to be their agent for certain enumerated purposes and nothing more
2 The Tenth Amendment to the United States Constitution defines the total scope of federal
power as being that which has been delegated by the people of the several states to the federal
government and all power not delegated to the federal government in the Constitution of the
United States is reserved to the states respectively or to the people themselves
3 The assumption of power that the federal government has made by enacting the ldquoPatient
Protection and Affordable Care Actrdquo interferes with the right of the People of the State of _____________ to regulate health care as they see fit and makes a mockery of James
Madisonrsquos assurance in Federalist 45 that the ldquopowers delegatedrdquo to the Federal Government
are ldquofew and definedrdquo while those of the States are ldquonumerous and indefiniterdquo
SECTION 2 NEW LAW PROHIBITION ON ENFORCEMENT PARTICIPATION AND
MATERIAL SUPPORT IN CERTAIN FEDERAL ACTS
A new section of law to be codified in the [STATE] Statutes as Section [NUMBER] of Title
[NUMBER] unless there is created a duplication in numbering reads as follows
A Notwithstanding any law regulation rule or order to the contrary no agency of this state
political subdivision of this state or employee of an agency or political subdivision of this state
acting in his or her official capacity or corporation providing services on behalf of this state or a
political subdivision of this state shall
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1115
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 1
(1) Enforce any federal act law order rule or regulation of the federal government of the United
States designed to give effect to the Patient Protection and Affordable Care Act signed by
President Barack Obama on March 23 2010
(2) Provide material support participation or assistance in any form with any federal agency oremployee engaged in the enforcement of any federal act law order rule or regulation of the
federal government of the United States designed to give effect to the Patient Protection and
Affordable Care Act
(3) Utilize any assets state funds or funds allocated by the state to local entities on or after
(DATE) in whole or in part to engage in any activity that aids a federal agency federal agent
or corporation providing services to the federal government in the enforcement of any federal
act law order rule or regulation of the federal government of the United States designed to
give effect to the Patient Protection and Affordable Care Act
SECTION 3 PENALTIES
A A political subdivision of this state may not receive state grant funds if the political subdivision
adopts a rule order ordinance or policy under which the political subdivision violates Section 2
of this Act State grant funds for the political subdivision shall be denied for the fiscal year
following the year in which a final judicial determination in an action brought under this section is
made that the political subdivision has intentionally required actions which violate the
prohibitions in Section 2 of this Act
B Any agent or employee of this state or of any political subdivision of this state who knowinglyviolates the prohibitions in Section 2 of this act shall be deemed to have resigned any
commission from the State of (STATE) which he or she may possess his or her office shall be
deemed vacant and he or she shall be forever thereafter ineligible to any office of trust honor
or emolument under the laws of this State
C Any corporation or person that provides services to or on behalf of this state and violates the
prohibitions of Section 2 of this act shall be forever ineligible to act on behalf of or provide
services to this state or any political subdivision of this state
SECTION 4 SEVERABILITY
The provisions of this act are severable If any part of this act is declared invalid or
unconstitutional that declaration shall not affect the part which remains
SECTION 5 EFFECTIVE DATE
A This act takes effect upon approval by the Governor
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1215
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1315
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1415
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 915
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 8
Taken together these four cases firmly establish
a legal doctrine holding that the federal
government has no authority to force states to
cooperate in implementing or enforcing its acts
Legal experts cannot dispute the legitimacy of
this version of nullification through
noncooperation
James Madison himself offered this as the
blueprint for resisting federal power
in Federalist 46
The ldquoFather of the Constitutionrdquo outlined several
steps states can take to stop ldquoan unwarrantable
measurerdquo or ldquoeven a warrantable measurerdquo of
the federal government
Anticipating the anti-commandeering doctrine
Madison advised a ldquorefusal to cooperate with
officers of the Unionrdquo as a way to effectively
thwart federal acts which the people of a state
may see as being either unconstitutional or
merely unpopular
Madisonrsquos blueprint supported by the anti-
commandeering doctrine provides a powerful tool
that states can use to stop unconstitutional
federal acts in their tracks
In fact during the federal government shutdown
the National Association of Governors admitted
ldquoStates are partners with the federal government
in implementing most federal programsrdquo
That means states can create impediments to
enforcing and implementing ldquomost federal
programsrdquo
By simply refusing to provide material support to
the Affordable Care Act states have the power to
render these actions unenforceable
Even the Supreme Court agrees
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1015
983105983118983113 983113983123983105983113983118
Please direct any questions to infotenthamendmentcentercom or call 2139350553
983105983081 983106983105983118 983123983124983105983124983109 983107983119983119983120983109983122983105983124983113983119983118
An Act to ban state enforcement participation or material support with certain
unconstitutional laws enacted by the Congress of the United States taking control over
the health insurance industry and mandating that individuals purchase health insurance
under threat of penalty
SECTION 1 The legislature of the State of ____________ finds that
1 The People of the several states comprising the United States of America created the federal
government to be their agent for certain enumerated purposes and nothing more
2 The Tenth Amendment to the United States Constitution defines the total scope of federal
power as being that which has been delegated by the people of the several states to the federal
government and all power not delegated to the federal government in the Constitution of the
United States is reserved to the states respectively or to the people themselves
3 The assumption of power that the federal government has made by enacting the ldquoPatient
Protection and Affordable Care Actrdquo interferes with the right of the People of the State of _____________ to regulate health care as they see fit and makes a mockery of James
Madisonrsquos assurance in Federalist 45 that the ldquopowers delegatedrdquo to the Federal Government
are ldquofew and definedrdquo while those of the States are ldquonumerous and indefiniterdquo
SECTION 2 NEW LAW PROHIBITION ON ENFORCEMENT PARTICIPATION AND
MATERIAL SUPPORT IN CERTAIN FEDERAL ACTS
A new section of law to be codified in the [STATE] Statutes as Section [NUMBER] of Title
[NUMBER] unless there is created a duplication in numbering reads as follows
A Notwithstanding any law regulation rule or order to the contrary no agency of this state
political subdivision of this state or employee of an agency or political subdivision of this state
acting in his or her official capacity or corporation providing services on behalf of this state or a
political subdivision of this state shall
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1115
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 1
(1) Enforce any federal act law order rule or regulation of the federal government of the United
States designed to give effect to the Patient Protection and Affordable Care Act signed by
President Barack Obama on March 23 2010
(2) Provide material support participation or assistance in any form with any federal agency oremployee engaged in the enforcement of any federal act law order rule or regulation of the
federal government of the United States designed to give effect to the Patient Protection and
Affordable Care Act
(3) Utilize any assets state funds or funds allocated by the state to local entities on or after
(DATE) in whole or in part to engage in any activity that aids a federal agency federal agent
or corporation providing services to the federal government in the enforcement of any federal
act law order rule or regulation of the federal government of the United States designed to
give effect to the Patient Protection and Affordable Care Act
SECTION 3 PENALTIES
A A political subdivision of this state may not receive state grant funds if the political subdivision
adopts a rule order ordinance or policy under which the political subdivision violates Section 2
of this Act State grant funds for the political subdivision shall be denied for the fiscal year
following the year in which a final judicial determination in an action brought under this section is
made that the political subdivision has intentionally required actions which violate the
prohibitions in Section 2 of this Act
B Any agent or employee of this state or of any political subdivision of this state who knowinglyviolates the prohibitions in Section 2 of this act shall be deemed to have resigned any
commission from the State of (STATE) which he or she may possess his or her office shall be
deemed vacant and he or she shall be forever thereafter ineligible to any office of trust honor
or emolument under the laws of this State
C Any corporation or person that provides services to or on behalf of this state and violates the
prohibitions of Section 2 of this act shall be forever ineligible to act on behalf of or provide
services to this state or any political subdivision of this state
SECTION 4 SEVERABILITY
The provisions of this act are severable If any part of this act is declared invalid or
unconstitutional that declaration shall not affect the part which remains
SECTION 5 EFFECTIVE DATE
A This act takes effect upon approval by the Governor
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1215
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1315
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1415
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1015
983105983118983113 983113983123983105983113983118
Please direct any questions to infotenthamendmentcentercom or call 2139350553
983105983081 983106983105983118 983123983124983105983124983109 983107983119983119983120983109983122983105983124983113983119983118
An Act to ban state enforcement participation or material support with certain
unconstitutional laws enacted by the Congress of the United States taking control over
the health insurance industry and mandating that individuals purchase health insurance
under threat of penalty
SECTION 1 The legislature of the State of ____________ finds that
1 The People of the several states comprising the United States of America created the federal
government to be their agent for certain enumerated purposes and nothing more
2 The Tenth Amendment to the United States Constitution defines the total scope of federal
power as being that which has been delegated by the people of the several states to the federal
government and all power not delegated to the federal government in the Constitution of the
United States is reserved to the states respectively or to the people themselves
3 The assumption of power that the federal government has made by enacting the ldquoPatient
Protection and Affordable Care Actrdquo interferes with the right of the People of the State of _____________ to regulate health care as they see fit and makes a mockery of James
Madisonrsquos assurance in Federalist 45 that the ldquopowers delegatedrdquo to the Federal Government
are ldquofew and definedrdquo while those of the States are ldquonumerous and indefiniterdquo
SECTION 2 NEW LAW PROHIBITION ON ENFORCEMENT PARTICIPATION AND
MATERIAL SUPPORT IN CERTAIN FEDERAL ACTS
A new section of law to be codified in the [STATE] Statutes as Section [NUMBER] of Title
[NUMBER] unless there is created a duplication in numbering reads as follows
A Notwithstanding any law regulation rule or order to the contrary no agency of this state
political subdivision of this state or employee of an agency or political subdivision of this state
acting in his or her official capacity or corporation providing services on behalf of this state or a
political subdivision of this state shall
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1115
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 1
(1) Enforce any federal act law order rule or regulation of the federal government of the United
States designed to give effect to the Patient Protection and Affordable Care Act signed by
President Barack Obama on March 23 2010
(2) Provide material support participation or assistance in any form with any federal agency oremployee engaged in the enforcement of any federal act law order rule or regulation of the
federal government of the United States designed to give effect to the Patient Protection and
Affordable Care Act
(3) Utilize any assets state funds or funds allocated by the state to local entities on or after
(DATE) in whole or in part to engage in any activity that aids a federal agency federal agent
or corporation providing services to the federal government in the enforcement of any federal
act law order rule or regulation of the federal government of the United States designed to
give effect to the Patient Protection and Affordable Care Act
SECTION 3 PENALTIES
A A political subdivision of this state may not receive state grant funds if the political subdivision
adopts a rule order ordinance or policy under which the political subdivision violates Section 2
of this Act State grant funds for the political subdivision shall be denied for the fiscal year
following the year in which a final judicial determination in an action brought under this section is
made that the political subdivision has intentionally required actions which violate the
prohibitions in Section 2 of this Act
B Any agent or employee of this state or of any political subdivision of this state who knowinglyviolates the prohibitions in Section 2 of this act shall be deemed to have resigned any
commission from the State of (STATE) which he or she may possess his or her office shall be
deemed vacant and he or she shall be forever thereafter ineligible to any office of trust honor
or emolument under the laws of this State
C Any corporation or person that provides services to or on behalf of this state and violates the
prohibitions of Section 2 of this act shall be forever ineligible to act on behalf of or provide
services to this state or any political subdivision of this state
SECTION 4 SEVERABILITY
The provisions of this act are severable If any part of this act is declared invalid or
unconstitutional that declaration shall not affect the part which remains
SECTION 5 EFFECTIVE DATE
A This act takes effect upon approval by the Governor
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1215
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1315
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1415
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1115
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 1
(1) Enforce any federal act law order rule or regulation of the federal government of the United
States designed to give effect to the Patient Protection and Affordable Care Act signed by
President Barack Obama on March 23 2010
(2) Provide material support participation or assistance in any form with any federal agency oremployee engaged in the enforcement of any federal act law order rule or regulation of the
federal government of the United States designed to give effect to the Patient Protection and
Affordable Care Act
(3) Utilize any assets state funds or funds allocated by the state to local entities on or after
(DATE) in whole or in part to engage in any activity that aids a federal agency federal agent
or corporation providing services to the federal government in the enforcement of any federal
act law order rule or regulation of the federal government of the United States designed to
give effect to the Patient Protection and Affordable Care Act
SECTION 3 PENALTIES
A A political subdivision of this state may not receive state grant funds if the political subdivision
adopts a rule order ordinance or policy under which the political subdivision violates Section 2
of this Act State grant funds for the political subdivision shall be denied for the fiscal year
following the year in which a final judicial determination in an action brought under this section is
made that the political subdivision has intentionally required actions which violate the
prohibitions in Section 2 of this Act
B Any agent or employee of this state or of any political subdivision of this state who knowinglyviolates the prohibitions in Section 2 of this act shall be deemed to have resigned any
commission from the State of (STATE) which he or she may possess his or her office shall be
deemed vacant and he or she shall be forever thereafter ineligible to any office of trust honor
or emolument under the laws of this State
C Any corporation or person that provides services to or on behalf of this state and violates the
prohibitions of Section 2 of this act shall be forever ineligible to act on behalf of or provide
services to this state or any political subdivision of this state
SECTION 4 SEVERABILITY
The provisions of this act are severable If any part of this act is declared invalid or
unconstitutional that declaration shall not affect the part which remains
SECTION 5 EFFECTIVE DATE
A This act takes effect upon approval by the Governor
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1215
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1315
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1415
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1215
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 2
983106983081 983122983109983114983109983107983124 983117983109983108983113983107983105983113983108 983109983128983120983105983118983123983113983119983118
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1315
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1415
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1315
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 3
983107983081 983112983109983105983116983124983112 983110983122983109983109983108983119983117 983105983107983124983084 983158983090
983117983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983139983154983141983137983156983141983140 983138983161 983156983144983141 American Legislative Exchange Council
Summary
This bill prohibits health insurers from accepting federal subsidies under the Affordable Care Act
that trigger the employer mandate Health insurers accepting subsidies shall have their license
to issue new business suspended for all business on exchanges established by the Affordable
Care Act
Model Policy
Section 1 Title This Act shall be known as the ldquoHealth Care Freedom Actrdquo
Section 2 Definitions
ldquoHealth insurance issuerrdquo means insert appropriate state health insurance issuer definition
or state code reference
Section 3 Prohibition on Issuers Enforcement
(A) A health insurance issuer operating in this state shall not accept any remuneration credit or
subsidy as described in 42 USC 18082
(B) If a health insurance issuer violates division (A) of this section the issuerrsquos license to issue
new business in the state on the federal exchange established by the Affordable Care Act shall
be suspended immediately and until such time as the issuer represents it has returned that
remuneration credit or subsidy to its source and will decline any such future remuneration
credit or subsidy Such suspensions shall not be construed as impairing the right of contract or
the right to continue or renew existing business in the state
(C) The attorney general shall take such action as is provided in insert appropriate state
law in the defense or prosecution of rights protected under this chapter
Section 4 Other Obligations of Attorney General
The attorney general shall seek injunctive and any other appropriate relief as expeditiously as
possible to preserve the rights and property of the residents of the state and to defend asnecessary the state and its officials employees and agents in the event that any law or
regulation violating the public policy set forth in this chapter is enacted by any government
subdivision or agency thereof
Section 5 Severability clause
Section 6 Repealer clause
Section 7 Effective date
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1415
983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124
983124983141983150983156983144 A983149983141983150983140983149983141983150983156 983107983141983150983156983141983154 983164 983112983151983159 983123983156983137983156983141983155 983107983137983150 983123983156983151983152 983156983144983141 A983142983142983151983154983140983137983138983148983141 983107983137983154983141 A983139983156 4
983108983081 983106983105983118 983123983124983105983124983109983085983119983120983109983122983105983124983113983119983118 983119983110 983109983128983107983112983105983118983111983109983123
This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1415
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This bill clarifies the implementation of certain provisions of the Patient Protection and
Affordable Care Act This bill prohibits the state of (STATE) from facilitating in any way
the expansion of the Medicaid program under the Act
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF (STATE)
SECTION 1 (STATE) Code Annotated Title (NUMBER) Chapter (NUMBER)) is amended by
adding the following as a new part
(NEW CODE NUMBER)
Notwithstanding any provision of law to the contrary the state shall not establish facilitate
implement or participate in the expansion of the Medicaid program pursuant to the Patient
Protection and Affordable Care Act Public Law 111-148 as amended
SECTION 2 This act shall take effect upon becoming a law the public welfare requiring it
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515
8132019 How States Can Stop Obamacare Handbook for State Legislators
httpslidepdfcomreaderfullhow-states-can-stop-obamacare-handbook-for-state-legislators 1515