ncsl health care reaction report
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8/9/2019 NCSL Health Care Reaction Report.
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Issues & Research Health StateLegislationOpposing CertainHealthReforms, Go18906
State Legislation Opposing Certain Health Reforms, 2009-2010
Upated:March22,2010-subjectto additions
by: RichardCauchi,Program Director,NCSLHealth Program
States have an extensive andcomplicatedsharedpowerrelationshipwith the federalgovernmentin regulatingvarious aspectsof the
health insurance market andin enacting health reforms.
Aspartof state-basedresponsesto federal health reformlegislation,individualmembersof atleast36statelegislatures are using
the legislative processtoseektolimit, alteroroppose selectedstate or federal actions,includingsingle-payerprovisions andmandatesthat
wouldrequire purchase of insurance. In generalthe measuresseektomake orkeep health insurance optional, and allowpeople topurchase
anytype of coverage theymaychoose. The individualstate language varies.
Constitutionalamendments: In 29of the states,the proposalsinclude a proposedconstitutional amendmentbyballotquestion. In a
majorityof these states,theirconstitution includes an additional "hurdle" forpassage - requiring either a "supermajorityof 60% or67%
forpassage,orrequiringtwo affirmative votesin twoseprate years,such as2010 and2011.
Changingstatelaw: In 13statesproposedbillswould amendstate law, notthe state constitution. These require a simple majorityvote
and action bythe governor; they alsocan be re-amendedorrepealedby a future state law.So farin 2010, Virginiabecame the firstin
the nation to enact a newstatute section titled, " Health insurance coverage notrequired." ItpassedMarch 4 andbecame lawon March 10,
2010; see SB283 andrelatedbillsbelow. Idahoisthe secondstate to enact a similarstatute > Seeactivestatuslistbelow.
Basedon actionsinitiallyin Arizona,
severalstatespropose ormaypropose state constitutional amendments,
usinglanguage such as:
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8/9/2019 NCSL Health Care Reaction Report.
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"Topreserve the freedomof allresidentsof the state toprovide fortheirown health careAlaworrule shall
notcompel,directlyorindirectly, anyperson, employeror health care providertoparticipate in any health care
system Aperson or employermaypaydirectly forlawful health care services andshall notbe requiredto
paypenaltiesor fines forpayingdirectly forlawful health care services..."
[see fulltextin
Appendix1 ]
Arizona voters are scheduledtocastballotson thisconstitutional amendmentin November2010. If adoptedbyvoters,
itcouldblock future state health reforms and atleastraise questions aboutsome featureswithin future federal health
reforms.
Accordingto TheNewYorkTimes , "Conservatives andlibertarians,
mostly, have been advancingthe theorylatelythatthe individualmandate,in which the governmentwouldcompel
everyone tobuyinsurance orpay a penalty,is unconstitutional." (NYTimes,
9/26/09) AcurrentMassachusettslaw,passedin 2006,includes an individualmandate,
although itwaswritten tobe consistentwith both state and federalconstitutions. Tothe extentthatcongressional
proposalsprovide forstate opt-outoropt-in features,these proposalstorestrict "reform" couldwellbecome more
widelydiscussed.
ArizonaResolutionpassed,2009
RelatedNCSLResources:
FederalHealthReform
StateHealthReform
Podcast audio (11/20/09)
Health Reform: States Opting Out (12/09) Archive Recording |
Slides
RecentNews
36 States with 2009-2010 Legislation Opposing Certain Health Reforms
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Asof earlyMarch, formalresolutionsorbills hadbeen filedin Alabama,Alaska,Arizona,Arkansas, California, Colorado, Florida,
Georgia,Idaho,Indiana,Iowa, Kansas, Kentucky, Louisiana,Maryland, Michigan,Minnesota,Mississippi,Missouri,
Nebraska,NewHampshire,NewJersey, NewMexico,NorthDakota,Ohio,Oklahoma,Pennsylvania,South Carolina,
SouthDakota, Tennessee,Utah, Virginia,Washington,West Virginia,WisconsinandWyoming.Uptothree additionalstates
were reportedin media or association articlesto have discussed future action orintentions; examples are listedbelow.
Laws:
InM
arc
h2010
aVir
ginia
law
pass
edbothSenate and
House,
w
as
am
endedbytheGo
vernor
andboth b
ran
che
sof the
legislature andbecame law asChapter106on March 10,becomingthe firstsuch statute in the nation.* Idahoisthe secondstate to enact
a similarstatute, asChapter46on March 17.
Passedbills: None of the otherproposalslisted have been finally approved; Arizona'sresolution of June 2009wasthe firstmeasure to
have passedthe legislative process; AUtahbillpassedboth chambers and awaits action bythe governor.A Tennessee and a Georgia bill
haspassedone chamber; Constitutionalresolutions have advancedthrough initialstepsin Florida,GeorgiaandMissouri(3/16/10).
One amendment failedtopassinGeorgiaon 3/18/10.
"Didnotpass"measures:So farin 2010,bills have been rejectedor failedtopassin: Indiana,Mississippi,NewHampshire,New
Mexico,SouthDakotaandWyoming.
ANon-bindingresolutionin Indiana passedthe Senate butdid notpassthe House.
Stateswith discussionsbut noknown legislation are listedseparately; information in the exampleslistbelowisbasedon media statements
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byindividuallegislatorsorlegislative associations.[1]
The issue hasgarneredstate-levelinterestin partdue tothe American Legislative Exchange Council's (ALEC) model "Freedomof Choice in
Health Care Act," which wasdescribed as "HowYourState Can BlockSingle-Payer andProtectPatients'Rights." The ALEC-
endorsedlanguage mirrorsArizona Proposition 101,which was narrowlydefeatedin 2008.
Severallegal experts have expressedopinionson the validityof this approach.[See Appendix
2 forcommentandquotes.]
Table 1:
Filed Bills and Resolutions for 2009-2010
Table 1indicates1) Activity andstatus formeasures filed;
2) the percentage of affirmative votesin the legislature required for approval;
3) the earliestdate that a proposedconstitutional amendmentcan appearon the statewide
ballot. Timing andparliamentarystepsvary amongstates.
The Constitutionalprocess:
In 35states,the legislature can enact a proposedconstitutional amendmentduring a
single session.[Appendix3] Thiswould allow
passedmeasuresto appearon the state ballotin 2010orlater. In 12statesthe
legislature must enact a proposedconstitutional amendmentduringtwosessions,
which wouldmake 2012the earliestdate forvoterdecisions.
State Activity/Legislation Requiredforpassage
AlabamaHB42byRep.Bentley; HB47byRep.Gipson
Wouldpropose a constitutional amendmenttoprohibit anyperson, employer,or health care provider frombeingcompelledto
participate in any health care system.
(Prefiled11/5/09 for2010
session;senttoHealthCommittee
1/12/10; held/pending3/18/10)
60% both legislative chambers
+
2010ballotvote
AlaskaHJR
35
by
R
ep.
K
elly
filed
for
2010
sessio
nWouldpropose a state constitutional amendmentprohibitingpassage of lawsthatinterfere with directpayments for health care services
andthe righttopurchase health care insurance from a privatelyownedcompany, andthatcompel a person toparticipate in a health
care system.
(Filed&senttoHealth&Human
ServicesComm.1/19/10)
2/3rdsboth legislative
chambers
+
2010ballotvote
http://www.alec.org/AM/Template.cfm?Section=ALEC_s_Freedom_of_Choice_in_Health_Care_Acthttp://www.alec.org/AM/Template.cfm?Section=ALEC_s_Freedom_of_Choice_in_Health_Care_Acthttp://www.alec.org/AM/Template.cfm?Section=ALEC_s_Freedom_of_Choice_in_Health_Care_Acthttp://www.alec.org/AM/Template.cfm?Section=ALEC_s_Freedom_of_Choice_in_Health_Care_Acthttp://alisondb.legislature.state.al.us/acas/ACTIONViewFrameMac.asp?TYPE=Instrument&INST=HB42&DOCPATH=searchableinstruments/2010RS/Printfiles/&PHYDOCPATH=//alisondb/acas/searchableinstruments/2010RS/PrintFiles/&DOCNAMES=HB42-int.pdf,,http://alisondb.legislature.state.al.us/acas/ACTIONViewFrameMac.asp?TYPE=Instrument&INST=HB42&DOCPATH=searchableinstruments/2010RS/Printfiles/&PHYDOCPATH=//alisondb/acas/searchableinstruments/2010RS/PrintFiles/&DOCNAMES=HB42-int.pdf,,http://alisondb.legislature.state.al.us/acas/ACTIONViewFrameMac.asp?TYPE=Instrument&INST=HB42&DOCPATH=searchableinstruments/2010RS/Printfiles/&PHYDOCPATH=//alisondb/acas/searchableinstruments/2010RS/PrintFiles/&DOCNAMES=HB42-int.pdf,,http://alisondb.legislature.state.al.us/acas/ACTIONViewFrameMac.asp?TYPE=Instrument&INST=HB42&DOCPATH=searchableinstruments/2010RS/Printfiles/&PHYDOCPATH=//alisondb/acas/searchableinstruments/2010RS/PrintFiles/&DOCNAMES=HB42-int.pdf,,http://alisondb.legislature.state.al.us/acas/ACTIONViewFrameMac.asp?TYPE=Instrument&INST=HB42&DOCPATH=searchableinstruments/2010RS/Printfiles/&PHYDOCPATH=//alisondb/acas/searchableinstruments/2010RS/PrintFiles/&DOCNAMES=HB42-int.pdf,,http://www.alec.org/AM/Template.cfm?Section=ALEC_s_Freedom_of_Choice_in_Health_Care_Act -
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Arizona
(2009)
Arizona
(2010)
Resolution HCR2014of 2009byRep.Barto
Referstothe November2010ballot a proposed amendmenttothe State Constitution "which providesthat nolaworrule shallcompel
anyperson or employertoparticipate in any health care system, a person or employermaypaydirectly forlawful health care services
andshall notbe requiredtopaypenaltiesor fines fordoingso, a health care providermayprovide directlypurchasedlawful health care
services; prohibitsthe termsorconditionsof a health care system fromimposingcertain mandatesor
limitations." [fulltextin Appendix1 below]
(Filed1/16/09;passedHouse
6/11/09;passedSenate
6/22/09) Alsosee 2008ballot
question history ,below.
50% both legislative chambers
(Passed)
2010ballotvote
HB2443byRep.Burges
Would addbystate statute the Health Care Freedomof Choice ActrequiringArizona to exercise itsoption todecline the public health
care plan if authorizedbythe federalgovernment.
(Filedandsenttocommittees
1/26/10)
Proposedstatute:
majorityboth
legislative chambers
Arkansas ISP2009-204byRep.Glidewell (InterimStudyProposal for2010FiscalSession)Would add a state statute to "ensure freedomof choice
in health care" forstate residents; " topreventinvoluntary enrollmentsin health care insurance programs" andprovidingthat an
"individualor an employermaymake directpayment forlawful health care services andshall notbe requiredtopaypenaltiesor fines"
formakingdirectpayment for health services.
(Filed12/17/09 for2010session)
Proposedstatute:
majorityboth
legislative chambers
CaliforniaSCA29bySen.Strickland
Wouldpropose a state constitutional amendmentprohibitingthe effectivenessor enforcementof a state or federalprogramthat (1)
requiresindividualstoobtain health care coverage, (2) requires health care service plansor health insurerstoguarantee issue contracts
andpoliciesto all applicants, (3) requires employersto eitherprovide health care coverage totheir employeesorpay a fee ortaxtothe
state orthe federalgovernmentin lieu thereof, (4) allows an entitycreated,operated,orsubsidizedbythe governmenttocompete with
health care service plans and health insurersin the private sector,or (5) creates a single-payer health care system, unlessthe program
is approvedbythe electorate byballotmeasure.
(Filed2/19/10)
2/3rds both legislative
chambers
+
2010ballotvote
http://www.azleg.gov/DocumentsForBill.asp?Bill_Number=2443&image.x=0&image.y=0http://www.azleg.gov/DocumentsForBill.asp?Bill_Number=2443&image.x=0&image.y=0http://www.azleg.gov/DocumentsForBill.asp?Bill_Number=2443&image.x=0&image.y=0http://www.azleg.gov/DocumentsForBill.asp?Bill_Number=2443&image.x=0&image.y=0http://www.arkleg.state.ar.us/assembly/2009/2010F/Pages/ISPIRDetail.aspx?ispid=2009-204http://www.arkleg.state.ar.us/assembly/2009/2010F/Pages/ISPIRDetail.aspx?ispid=2009-204http://www.arkleg.state.ar.us/assembly/2009/2010F/Pages/ISPIRDetail.aspx?ispid=2009-204http://www.arkleg.state.ar.us/assembly/2009/2010F/Pages/ISPIRDetail.aspx?ispid=2009-204http://www.arkleg.state.ar.us/assembly/2009/2010F/Pages/ISPIRDetail.aspx?ispid=2009-204http://www.arkleg.state.ar.us/assembly/2009/2010F/Pages/ISPIRDetail.aspx?ispid=2009-204http://www.arkleg.state.ar.us/assembly/2009/2010F/Pages/ISPIRDetail.aspx?ispid=2009-204http://www.leginfo.ca.gov/cgi-bin/postquery?bill_number=sca_29&sess=CUR&house=B&author=stricklandhttp://www.leginfo.ca.gov/cgi-bin/postquery?bill_number=sca_29&sess=CUR&house=B&author=stricklandhttp://www.leginfo.ca.gov/cgi-bin/postquery?bill_number=sca_29&sess=CUR&house=B&author=stricklandhttp://www.leginfo.ca.gov/cgi-bin/postquery?bill_number=sca_29&sess=CUR&house=B&author=stricklandhttp://www.leginfo.ca.gov/cgi-bin/postquery?bill_number=sca_29&sess=CUR&house=B&author=stricklandhttp://www.arkleg.state.ar.us/assembly/2009/2010F/Pages/ISPIRDetail.aspx?ispid=2009-204http://www.azleg.gov/DocumentsForBill.asp?Bill_Number=2443&image.x=0&image.y=0 -
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Colorado HJR10-1009byRepAcree
Rssolution statingthe intentof the GeneralAssembly,to "Reserve the opportunity and abilityof the State of Colorado anditscitizens,
underthe state's andthe people's Tenth Amendmentrights,tooptoutof anyobligationsdue orparticipation requiredin any new
federal health care legislation.
(Filedandsenttocommittees
2/5/10)
Aseparatecitizeninitiative
applicationwas filedwith
SecretaryofState. See footnote
below
50% both legislative chambers
Florida HJR37 (JointResolutions filed for2010) byRep.Plakon; 39co-sponsors;
SJR72bySen Baker.
Jointresolutionswouldpropose a State Constitutional amendment toprohibitlawsorrules fromcompelling anyperson, employer,or
health care providertoparticipate in any health care system; permitsperson or employertopurchase lawful health care servicesdirectly
from health care provider, andpermits health care providersto acceptdirectpayment from a person or employer forlawful health care
services.
(HJR
37
pref
iled
7/27
/2009
for
2010session;
SJR72prefiled10/5/09;sentto
3committees12/9/09; favorable
comm.report3/4/10)
60% both legislative chambers
+
2010ballotvote
Georgia
Georgia
2010resolutions: HR1086byRep.Calvin Hill; HR1107byRep.Mills;
SR794bySen.Hill; SR795bySen.Harp.
Wouldpropose an amendmenttothe Constitution so astoprovide that nolaworrule orregulation shallcompel anyperson, employer,
or health care providertoparticipate in any health care system andto authorize persons and employerstopaydirectly forlawful health
care serviceswithoutpenaltiesor fines; wouldprovide forsubmission of the amendment forratification orrejection.
SR795wouldprovide thatresidentswould notbe subjecttopenaltiesor fine for not having health insurance.
(Prefiled11/23/09 for2010
session; HR1086 favorable
report3/11/10; didnotpass
House3rdReading111y-61n-3nv,
noticetoreconsidervote3/22/10)
SR795 favorablereportbySenate
Judiciary2/2/10;
SR794 didnotpass Senate3rd
reading31y-19n,3/18/10)
2/3rds both legislative
chambers
+
2010ballotvote
http://www.leg.state.co.us/clics/clics2010a/csl.nsf/fsbillcont/021A7B758F46C832872576B30056822F?Open&file=HJR1009_01.pdfhttp://www.leg.state.co.us/clics/clics2010a/csl.nsf/fsbillcont/021A7B758F46C832872576B30056822F?Open&file=HJR1009_01.pdfhttp://www.leg.state.co.us/clics/clics2010a/csl.nsf/fsbillcont/021A7B758F46C832872576B30056822F?Open&file=HJR1009_01.pdfhttp://www.leg.state.co.us/clics/clics2010a/csl.nsf/fsbillcont/021A7B758F46C832872576B30056822F?Open&file=HJR1009_01.pdfhttp://www.leg.state.co.us/clics/clics2010a/csl.nsf/fsbillcont/021A7B758F46C832872576B30056822F?Open&file=HJR1009_01.pdfhttp://www.leg.state.co.us/clics/clics2010a/csl.nsf/fsbillcont/021A7B758F46C832872576B30056822F?Open&file=HJR1009_01.pdfhttp://www.leg.state.co.us/clics/clics2010a/csl.nsf/fsbillcont/021A7B758F46C832872576B30056822F?Open&file=HJR1009_01.pdfhttp://www.myfloridahouse.gov/Sections/Bills/billsdetail.aspx?BillId=42156&BillNumber=H37&SessionId=64http://www.myfloridahouse.gov/Sections/Bills/billsdetail.aspx?BillId=42156&BillNumber=H37&SessionId=64http://www.myfloridahouse.gov/Sections/Bills/billsdetail.aspx?BillId=42156&BillNumber=H37&SessionId=64http://www.myfloridahouse.gov/Sections/Bills/billsdetail.aspx?BillId=42156&BillNumber=H37&SessionId=64http://www.myfloridahouse.gov/Sections/Bills/billsdetail.aspx?BillId=42156&BillNumber=H37&SessionId=64http://www.flsenate.gov/Session/index.cfm?Mode=Bills&SubMenu=1&Tab=session&BI_Mode=ViewBillInfo&BillNum=0072&Chamber=Senate&Year=2010&Title=%2D%3EBill%2520Info%3AS%25200072%2D%3ESession%25202010http://www.flsenate.gov/Session/index.cfm?Mode=Bills&SubMenu=1&Tab=session&BI_Mode=ViewBillInfo&BillNum=0072&Chamber=Senate&Year=2010&Title=%2D%3EBill%2520Info%3AS%25200072%2D%3ESession%25202010http://www.flsenate.gov/Session/index.cfm?Mode=Bills&SubMenu=1&Tab=session&BI_Mode=ViewBillInfo&BillNum=0072&Chamber=Senate&Year=2010&Title=%2D%3EBill%2520Info%3AS%25200072%2D%3ESession%25202010http://www.flsenate.gov/Session/index.cfm?Mode=Bills&SubMenu=1&Tab=session&BI_Mode=ViewBillInfo&BillNum=0072&Chamber=Senate&Year=2010&Title=%2D%3EBill%2520Info%3AS%25200072%2D%3ESession%25202010http://www.flsenate.gov/Session/index.cfm?Mode=Bills&SubMenu=1&Tab=session&BI_Mode=ViewBillInfo&BillNum=0072&Chamber=Senate&Year=2010&Title=%2D%3EBill%2520Info%3AS%25200072%2D%3ESession%25202010http://www.legis.ga.gov/legis/2009_10/sum/hr1086.htmhttp://www.legis.ga.gov/legis/2009_10/sum/hr1086.htmhttp://www.legis.ga.gov/legis/2009_10/sum/hr1086.htmhttp://www.legis.ga.gov/legis/2009_10/sum/hr1086.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/hr1107.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/hr1107.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/hr1107.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/hr1107.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr794.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr794.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr794.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr794.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr795.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr795.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr795.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr795.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr795.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr794.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/hr1107.htmhttp://www.legis.ga.gov/legis/2009_10/sum/hr1086.htmhttp://www.flsenate.gov/Session/index.cfm?Mode=Bills&SubMenu=1&Tab=session&BI_Mode=ViewBillInfo&BillNum=0072&Chamber=Senate&Year=2010&Title=%2D%3EBill%2520Info%3AS%25200072%2D%3ESession%25202010http://www.myfloridahouse.gov/Sections/Bills/billsdetail.aspx?BillId=42156&BillNumber=H37&SessionId=64http://www.leg.state.co.us/clics/clics2010a/csl.nsf/fsbillcont/021A7B758F46C832872576B30056822F?Open&file=HJR1009_01.pdf -
8/9/2019 NCSL Health Care Reaction Report.
7/24
SB317bySen.Hill
Would establish bystatute that "nolaworrule orregulation shallcompel anyperson, employer,or health care providertoparticipate in
any health care system;" to authorize persons and employerstopaydirectly forlawful health care serviceswithoutpenaltiesor fines.
(Filed1/25/10; favorableComm.
report2/10/10; passedSenate,
pendinginHouse3/18/10)
SR829 andSR830bySen.Hill.
Resolutionswoulddirectthe AttorneyGeneralto "initiate a formalinvestigation intothe constitutionalityof the special exemption set
forth in the UnitedStatesSenate'sversion of this national health care legislation and explore the availabilityof allotherlegalchallenges.
(Filed1/15/10;SenateJudiciary
favorable2/2/10;Senate2nd
reading2/11/10)
Statute:
majorityboth
legislative chambers
Resolutions; majorityvote
IdahoHB391byState AffairsComm.
Amend and addto existinglawto establish the IdahoHealth FreedomAct,statingin part, "that everyperson within the state of Idahois
andshallbe free tochoose ordecline tochoose anymode of securing health care serviceswithoutpenaltyorthreatof penalty."
(Filed1/19/10;passedHouse52y-
8n,2/9/10; amended;passed
Senate24y-10n& enrolled,
3/12/10; signedintolawby
governor asSessionLawChapter
46,3/17/10)
Statute:
majorityboth
legislative chambers
Indiana
(2009)
Indiana
(2010)
SJR65bySen. Waltz; SJR91bySen. Waltz; SJR111bySen. Waltz (Advisoryresolutions for2009)
SJR91: Resolved, "Thatthe Indiana GeneralAssemblymust ensure that allresidentsof Indiana may enterinto private contractswith
health care providers for health care services andmaypurchase private coverage for health care services. Thatthe Indiana General
Assemblyshould notrequire an individualtoparticipate in a health care systemorplan orimpose on an individual a penaltyor fine ofanytype forchoosingtoobtain ordecline coverage for health care servicesorparticipatingin a particular health care systemorplan."
(SR65 - filed4/7/09 -didnot
passbyendofsession;SR91 -
filed4/27/09 -didnotpassby
endofsession;SR111 - filed
4/28/09 - didnotpassbyendof
session ; In dianadoesnotcarry
overbillsorresolutionsto2010)
Non-binding
resolutions
http://www.legis.state.ga.us/legis/2009_10/fulltext/sb317.htmhttp://www.legis.state.ga.us/legis/2009_10/fulltext/sb317.htmhttp://www.legis.state.ga.us/legis/2009_10/fulltext/sb317.htmhttp://www.legis.state.ga.us/legis/2009_10/fulltext/sb317.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr829.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr829.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr829.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr829.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr830.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr830.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr830.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr830.htmhttp://www.legislature.idaho.gov/legislation/2010/H0391.htmhttp://www.legislature.idaho.gov/legislation/2010/H0391.htmhttp://www.legislature.idaho.gov/legislation/2010/H0391.htmhttp://www.legislature.idaho.gov/legislation/2010/H0391.htmhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0065&doctype=SRhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0065&doctype=SRhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0065&doctype=SRhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0065&doctype=SRhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0065&doctype=SRhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0091&doctype=SRhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0091&doctype=SRhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0091&doctype=SRhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0091&doctype=SRhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0091&doctype=SRhttp://www.in.gov/legislative/bills/2009/SRESP/SR0111.htmlhttp://www.in.gov/legislative/bills/2009/SRESP/SR0111.htmlhttp://www.in.gov/legislative/bills/2009/SRESP/SR0111.htmlhttp://www.in.gov/legislative/bills/2009/SRESP/SR0111.htmlhttp://www.in.gov/legislative/bills/2009/SRESP/SR0111.htmlhttp://www.in.gov/legislative/bills/2009/SRESP/SR0111.htmlhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0091&doctype=SRhttp://www.in.gov/apps/lsa/session/billwatch/billinfo?year=2009&session=1&request=getBill&docno=0065&doctype=SRhttp://www.legislature.idaho.gov/legislation/2010/H0391.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr830.htmhttp://www.legis.state.ga.us/legis/2009_10/sum/sr829.htmhttp://www.legis.state.ga.us/legis/2009_10/fulltext/sb317.htm -
8/9/2019 NCSL Health Care Reaction Report.
8/24
SJR14bySen.Krause,HJR6; HJR8; also non bindingresolution SCR10
Wouldpropose a state constitutional amendmentstating, "Aperson, an employer,or a health care providershall notbe compelled,
directlyorindirectly,toparticipate in any health care system. Aperson or an employermaypaydirectly forlawful health care services
andshall notbe subjecttopenaltiesor fines forpayingdirectly forlawful health care services. A health care providermayreceive direct
payment for health care services from a person or an employer andshall notbe subjecttopenaltiesor fines for acceptingdirect
payment from a person or an employer."
SCR10 - nonbindingresolution
passed Senate 2/1/10;didnot
passHouse Committee on RULESAND LEGISLATIVEPROCEDURES)
(Filed1/11/10; didnotpassby
endofregularsessiondeadline
3/3/10)
50% both legislative chambers
+
2012 ballotvote
Iowa HJR2007byRep.Upmeyer
Wouldpropose a state constitutional amendmentprohibitingpassage of lawsthatinterfere with directpayments for health care services
andthe righttopurchase health care insurance from a privatelyownedcompany, andthatcompel a person toparticipate in a health
care system.
(Filed f
or2010
sessio
n)
50% both legislative chambers
+
2012ballotvote
HF2214byRep.Upmeyer
Would establish bystatute thatthe people of Iowa have the rightto enterintocontractswith health care providers for health care
services andtopurchase private health care coverage. In addition,the general assemblycannotrequire anyperson toparticipate in any
health care systemorplan,orimpose anytype of penaltyor fine on anyperson forchoosingtoobtain ordecliningtoobtain health care
coverage or forparticipatingordecliningtoparticipate in anyparticular health care systemorplan.
(Filed1/26/10;motionto
expedite failed44y-53n,
2/12/10;pendingincommittee)
Proposedstatute:
majorityboth
legislative chambers
Kansas SCR1626bySen.Pilcher-Cook
Wouldpropose a state constitutional amendmentprovidingthat "Alaworrule shall notcompel,directlyorindirectly, anyperson,
employeror health care providertoparticipate in any health care systemorpurchase health insurance. (2) Aperson or employermay
paydirectly forlawful health care services andshall notbe requiredtopaypenaltiesor fines forpayingdirectly forlawful health care
services.
(Filed&senttocommittees2/2/10,2/17/10)
2/3rdsboth legislative
chambers
+
2010ballotvote
http://www.state.in.us/legislative/bills/2010/RES/SJ0014.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/SJ0014.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/SJ0014.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/SJ0014.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/SJ0014.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0006.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0006.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0006.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0006.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0006.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0008.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0008.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0008.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0008.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0008.1.htmlhttp://www.state.in.us/legislative/bills/2010/SRESF/SC0010.htmlhttp://www.state.in.us/legislative/bills/2010/SRESF/SC0010.htmlhttp://www.state.in.us/legislative/bills/2010/SRESF/SC0010.htmlhttp://www.state.in.us/legislative/bills/2010/SRESF/SC0010.htmlhttp://www.state.in.us/legislative/bills/2010/SRESF/SC0010.htmlhttp://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=BillInfo&Service=Billbook&ga=83&hbill=HJR2007http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=BillInfo&Service=Billbook&ga=83&hbill=HJR2007http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=BillInfo&Service=Billbook&ga=83&hbill=HJR2007http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=BillInfo&Service=Billbook&ga=83&hbill=HJR2007http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=BillInfo&Service=Billbook&ga=83&hbill=HJR2007http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=BillInfo&Service=Billbook&ga=83&menu=text&hbill=HF2214http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=BillInfo&Service=Billbook&ga=83&menu=text&hbill=HF2214http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=BillInfo&Service=Billbook&ga=83&menu=text&hbill=HF2214http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=BillInfo&Service=Billbook&ga=83&menu=text&hbill=HF2214http://www.kslegislature.org/bills/2010/2010_1626.pdfhttp://www.kslegislature.org/bills/2010/2010_1626.pdfhttp://www.kslegislature.org/bills/2010/2010_1626.pdfhttp://www.kslegislature.org/bills/2010/2010_1626.pdfhttp://www.kslegislature.org/bills/2010/2010_1626.pdfhttp://www.kslegislature.org/bills/2010/2010_1626.pdfhttp://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=BillInfo&Service=Billbook&ga=83&menu=text&hbill=HF2214http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=BillInfo&Service=Billbook&ga=83&hbill=HJR2007http://www.state.in.us/legislative/bills/2010/SRESF/SC0010.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0008.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/HJ0006.1.htmlhttp://www.state.in.us/legislative/bills/2010/RES/SJ0014.1.html -
8/9/2019 NCSL Health Care Reaction Report.
9/24
Kentucky HB307byRepMoore
Wouldprohibitbystatute anyotherlaw "fromrequiring anyindividualtoparticipate in any health care systemorplan,ortoimpose a
penaltyor fine regardingparticipation; permit an individualor an employertopaydirectly for health care services and a health care
providerto acceptdirectpaymentwithoutpenaltiesor fines. Alsowouldprohibitthe state executive branch from "participatingin or
complyingwith any federallaw,regulation,orpolicythatwouldcompromise the freedomof choice in the health care."
(Filed1/21/10;senttoBanking
& InsuranceComm.1/26/10;still
pending3/18/10)
Proposedstatute:
majorityboth
legislative chambers
Louisiana
Louisiana
SB26bySen.Crowe
Wouldprohibitbystatute anyotherlawrequiring a "person, employer, health care providertoparticipate" in a health systemor
insurance system; alsowouldprohibitcompellingparticipation in any health care systemor health insurance plan. Would establish
a misdemeanoroffense andpenalty ($500or five dayin prison) for anystate orlocalofficialwho "attemptstocoerce anyindividualto
purchase health insurance."
(FiledandsenttoSen.Health
andWelfare) 5A
Proposedstatute:
majorityboth
legislative chambers
HB94byRep. Talbot
Wouldpropose a state constitutional amendmenttoprohibitlawsorrulesthatwouldcompel "anyperson, employer,or health care
providertoparticipate in any health care system"; would allowthe directpaymentof health care services; alsosuch persons,
employeresorproviderswould "notbe requiredtopaypenaltiesor fines" forbuyingorselling health services.
(Prefiled3/4/10)
2/3rdsboth legislative
chambers
+
2010ballotvote
Maryland SB397bySen.Pitkin
Wouldpropose a state constitutional amendmentlimitingthe regulation of health care in the state; prohibiting a law from
compellingresidentstoparticipate in any health care system; prohibitingresidents frombeingrequiredtopaypenaltiesor fines for not
participatingin health insurance; specifyingthatthe purchase orsale of specified health insurance may notbe prohibitedbylaw;
authorizingresidentstopaydirectlyor acceptdirectpayment forspecified health care services.
(Filedandsenttocommittee
1/29/10)
60% both legislative chambers
+
2010ballotvote
Michigan SJRKof 2009bySen.Kuipers; HJRCCbyRep.Calley; HJRZof 2009byRep.Amash
Wouldpropose a state constitutional amendment "to affirmthe righttoindependent health care." Includes a statementthat "a person or
employershall notbe requiredtopaypenaltiesor fines forpayingdirectly forlawful health care services.
(Filed8/1/9/09,8/29/09and
9/9/09;pendinginCommitteeon
HealthPolicy; no floorvotein
2009; carriedoverto2010)
2/3both legislative chambers
+
2010ballotvote
http://www.lrc.ky.gov/record/10RS/HB307.htmhttp://www.lrc.ky.gov/record/10RS/HB307.htmhttp://www.lrc.ky.gov/record/10RS/HB307.htmhttp://www.lrc.ky.gov/record/10RS/HB307.htmhttp://www.legis.state.la.us/billdata/byinst.asp?sessionid=10RS&billid=SB26http://www.legis.state.la.us/billdata/byinst.asp?sessionid=10RS&billid=SB26http://www.legis.state.la.us/billdata/byinst.asp?sessionid=10RS&billid=SB26http://www.legis.state.la.us/billdata/byinst.asp?sessionid=10RS&billid=SB26http://mlis.state.md.us/2010rs/billfile/sb0397.htmhttp://mlis.state.md.us/2010rs/billfile/sb0397.htmhttp://mlis.state.md.us/2010rs/billfile/sb0397.htmhttp://mlis.state.md.us/2010rs/billfile/sb0397.htmhttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/Senate/pdf/2009-SIJR-K.pdfhttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/Senate/pdf/2009-SIJR-K.pdfhttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/Senate/pdf/2009-SIJR-K.pdfhttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/Senate/pdf/2009-SIJR-K.pdfhttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/Senate/pdf/2009-SIJR-K.pdfhttp://www.legislature.mi.gov/(S(narccc55hmavim45nhzol345))/mileg.aspx?page=getObject&objectName=2009-HJR-CChttp://www.legislature.mi.gov/(S(narccc55hmavim45nhzol345))/mileg.aspx?page=getObject&objectName=2009-HJR-CChttp://www.legislature.mi.gov/(S(narccc55hmavim45nhzol345))/mileg.aspx?page=getObject&objectName=2009-HJR-CChttp://www.legislature.mi.gov/(S(narccc55hmavim45nhzol345))/mileg.aspx?page=getObject&objectName=2009-HJR-CChttp://www.legislature.mi.gov/(S(narccc55hmavim45nhzol345))/mileg.aspx?page=getObject&objectName=2009-HJR-CChttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/House/pdf/2009-HIJR-Z.pdfhttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/House/pdf/2009-HIJR-Z.pdfhttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/House/pdf/2009-HIJR-Z.pdfhttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/House/pdf/2009-HIJR-Z.pdfhttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/House/pdf/2009-HIJR-Z.pdfhttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/House/pdf/2009-HIJR-Z.pdfhttp://www.legislature.mi.gov/(S(narccc55hmavim45nhzol345))/mileg.aspx?page=getObject&objectName=2009-HJR-CChttp://www.legislature.mi.gov/documents/2009-2010/jointresolutionintroduced/Senate/pdf/2009-SIJR-K.pdfhttp://mlis.state.md.us/2010rs/billfile/sb0397.htmhttp://www.legis.state.la.us/billdata/byinst.asp?sessionid=10RS&billid=SB26http://www.lrc.ky.gov/record/10RS/HB307.htm -
8/9/2019 NCSL Health Care Reaction Report.
10/24
Minnesota HF171byRep.Emmer,S325bySen.Koch,S1282bySen.Hann
Wouldpropose an amendmenttothe Minnesota Constitution statingthat "nolawshallbe passedthatrestricts a person's freedomof
choice of private health care systemsorprivate health plansof anytype.Nolawshallinterfere with a person'sor entity'srighttopay
directly forlawfulmedicalservices, norshall anylawimpose a penaltyor fine,of anytype, forchoosingtoobtain ordecline health care
coverage or forparticipation in anyparticular health care systemor health plan."
(Filed1/22/09,3/9/09;didnot
passcommitteebyendof2009
session;subjecttocarryoverto
2010)
50% both legislative chambers
+
2010ballotvote
Mississippi
HCR17byRep.Monsour; SCR562bySen.Nunnelee
Resolution,wouldpropose a constitutional amendmenttoprohibitlawscompelling anyperson, employeror health care providerto
participate in any health care plan. Would provide that a "person or employermaypaydirectly forlawful health care services andshall
notbe requiredtopaypenaltiesor fines forpayingdirectly."
(Filed;senttoCommitteeon
Constitution1/7/10;HCR17and
SCR562 diedincommittee 2/2/10)
2/3both legislative chambers
+
2010ballotvote
Missouri HJR48byRep. Davis; HJR50byRep.Ervin; HJR57byRep.Jones Ti;
SJR25bySen.Cunningham
Jointresolutions,wouldpropose a constitutional amendmentwhich wouldprohibitcompelling a person toparticipate in any health care
system. "Upon voter approval,thisproposedconstitutional amendmentprohibits anyperson, employer,or health care provider from
beingcompelledtoparticipate in any health care system. Individuals and employersmaypaydirectly forlawful health care services, and
health care providerscan acceptpayment for health care services fromindividualsor employerswithoutbeingsubjectto finesor
penalties. The purchase orsale of health insurance in private health care systemscannotbe prohibitedbylaworrule.
(Prefiled1/6/10 for2010
session;HJR48Houseresolutions
passedHouse 109y-46n,3/16/10) 4,10
50% both legislative chambers
+
2010ballotvote
Nebraska LR289CAbySen.McCoy
Proposedconstitutional amendmentstating "nolawshallbe passedthat: (1) Restricts a persons freedomof choice of private health
care systemsorprivate health plansof anytype; (2) Interfereswith a personsor an entitysrightto paydirectly forlawfulmedical
services; or (3) Imposes a penaltyor fine of anytype forchoosingtoobtain ordecline health care coverage."
(Filed&senttoHealth&Human
ServicesCommittee1/13/10)
60% both legislative chambers
+
2010ballotvote
https://www.revisor.mn.gov/bin/bldbill.php?bill=H0171.0.html&session=ls86https://www.revisor.mn.gov/bin/bldbill.php?bill=H0171.0.html&session=ls86https://www.revisor.mn.gov/bin/bldbill.php?bill=H0171.0.html&session=ls86https://www.revisor.mn.gov/bin/bldbill.php?bill=H0171.0.html&session=ls86https://www.revisor.mn.gov/bin/bldbill.php?bill=S0325.0.html&session=ls86https://www.revisor.mn.gov/bin/bldbill.php?bill=S0325.0.html&session=ls86https://www.revisor.mn.gov/bin/bldbill.php?bill=S0325.0.html&session=ls86https://www.revisor.mn.gov/bin/bldbill.php?bill=S1282.0.html&session=ls86https://www.revisor.mn.gov/bin/bldbill.php?bill=S1282.0.html&session=ls86https://www.revisor.mn.gov/bin/bldbill.php?bill=S1282.0.html&session=ls86http://billstatus.ls.state.ms.us/documents/2010/pdf/SC/SC0562IN.pdfhttp://billstatus.ls.state.ms.us/documents/2010/pdf/SC/SC0562IN.pdfhttp://billstatus.ls.state.ms.us/documents/2010/pdf/SC/SC0562IN.pdfhttp://billstatus.ls.state.ms.us/documents/2010/pdf/SC/SC0562IN.pdfhttp://billstatus.ls.state.ms.us/documents/2010/pdf/SC/SC0562IN.pdfhttp://house.mo.gov/content.aspx?info=/bills101/bills/HJR48.htmhttp://house.mo.gov/content.aspx?info=/bills101/bills/HJR48.htmhttp://house.mo.gov/content.aspx?info=/bills101/bills/HJR48.htmhttp://house.mo.gov/content.aspx?info=/bills101/bills/HJR48.htmhttp://house.mo.gov/content.aspx?info=/bills101/bills/HJR48.htmhttp://www.house.mo.gov/content.aspx?info=/bills101/bills/hjr50.htmhttp://www.house.mo.gov/content.aspx?info=/bills101/bills/hjr50.htmhttp://www.house.mo.gov/content.aspx?info=/bills101/bills/hjr50.htmhttp://www.house.mo.gov/content.aspx?info=/bills101/bills/hjr50.htmhttp://www.house.mo.gov/content.aspx?info=/bills101/bills/hjr50.htmhttp://www.nebraskalegislature.gov/FloorDocs/Current/PDF/Intro/LR289CA.pdfhttp://www.nebraskalegislature.gov/FloorDocs/Current/PDF/Intro/LR289CA.pdfhttp://www.nebraskalegislature.gov/FloorDocs/Current/PDF/Intro/LR289CA.pdfhttp://www.nebraskalegislature.gov/FloorDocs/Current/PDF/Intro/LR289CA.pdfhttp://www.nebraskalegislature.gov/FloorDocs/Current/PDF/Intro/LR289CA.pdfhttp://www.nebraskalegislature.gov/FloorDocs/Current/PDF/Intro/LR289CA.pdfhttp://www.house.mo.gov/content.aspx?info=/bills101/bills/hjr50.htmhttp://house.mo.gov/content.aspx?info=/bills101/bills/HJR48.htmhttp://billstatus.ls.state.ms.us/documents/2010/pdf/SC/SC0562IN.pdfhttps://www.revisor.mn.gov/bin/bldbill.php?bill=S1282.0.html&session=ls86https://www.revisor.mn.gov/bin/bldbill.php?bill=S0325.0.html&session=ls86https://www.revisor.mn.gov/bin/bldbill.php?bill=H0171.0.html&session=ls86 -
8/9/2019 NCSL Health Care Reaction Report.
11/24
New
Hampshire
CACR30of 2010byRep.Renzullo
Wouldpropose a state constitutional amendmentto establish a rightstating, "People may enterintoprivate contractswith health care
providers for health care services andtopurchase health care coverage." Alsowouldprohibitthe state legislature fromrequiring health
insurance orimposing any fine orpenalty for not havingcoverage.
(Filed1/6/10; negatiivereport;
didnotpass as "inexpedientto
legislate"2/3/10)
60% both legislative chambers
+
2010ballotvote with 2/3rds
popularvote
Alsosee Financingcategorybelow --
New
Jersey
ACR109byAssemblymemberMchose; SCR81bySen. Doherty
Wouldpropose a state constitutional amendmenttoprohibitstate or federallaworregulation fromcompelling a person toobtain,
provide,orparticipate in health care coverage.
(NewJersey'sconstitution requires a three-fifthsvote in each chamber atone session [2010],ormajorityvote in each chamber fortwo
successive sessions [for2012])
(Filed2/25/10)
Both legislative chambers
+
ballotvote
(see note)
NewMexico
(2009)
NewMexico
(2010)
SJR1of 2009bySen.Sharer/HJR10of 2009byRep.Gardner
Proposedconstitutional amendmentstating, "Nolawshallbe enactedthat: A.restricts a person's freedomof choice of a private health
care systemorplan; B.interfereswith a person'srighttopaydirectly forlawfulmedicalservices; orC.imposes a penaltyor fine of any
type on a person forchoosingtoobtain ortodecline health care coverage or forparticipation in a particular health care systemor
plan." | Fiscal ImpactReport
(SJR1 filed1/21/09;HJR10
filed1/28/09; failedtopassby
endofsession; nocarryover)
50% both legislative chambers
+
2010ballotvote
HJR5byRep.Gardner; SJR2bySen.Sharer
Propo
sed
con
stitut
iona
lamendment
stat
ing
,
"Nolaw
sha
llbe ena
ctedthat:
A.
restric
ts
a person
'sfreedomof
cho
ice of a p
rivate hea
lth
care systemorplan; B.interfereswith a person'srighttopaydirectly forlawfulmedicalservices; orC.imposes a penaltyor fine of any
type on a person forchoosingtoobtain ortodecline health care coverage or forparticipation in a particular health care systemor
plan."
(Filed for2010;didnotpass)
http://www.gencourt.state.nh.us/legislation/2010/CACR0030.htmlhttp://www.gencourt.state.nh.us/legislation/2010/CACR0030.htmlhttp://www.gencourt.state.nh.us/legislation/2010/CACR0030.htmlhttp://www.gencourt.state.nh.us/legislation/2010/CACR0030.htmlhttp://www.njleg.state.nj.us/2010/Bills/ACR/109_I1.HTMhttp://www.njleg.state.nj.us/2010/Bills/ACR/109_I1.HTMhttp://www.njleg.state.nj.us/2010/Bills/ACR/109_I1.HTMhttp://www.njleg.state.nj.us/2010/Bills/ACR/109_I1.HTMhttp://www.njleg.state.nj.us/2010/Bills/SCR/81_I1.HTMhttp://www.njleg.state.nj.us/2010/Bills/SCR/81_I1.HTMhttp://www.njleg.state.nj.us/2010/Bills/SCR/81_I1.HTMhttp://www.njleg.state.nj.us/2010/Bills/SCR/81_I1.HTMhttp://www.njleg.state.nj.us/2010/Bills/SCR/81_I1.HTMhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/senate/SJR01.pdfhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/senate/SJR01.pdfhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/senate/SJR01.pdfhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/senate/SJR01.pdfhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/senate/SJR01.pdfhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/house/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/house/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/house/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/house/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/house/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://legis.state.nm.us/Sessions/10%20Regular/resolutions/house/HJR05.pdfhttp://legis.state.nm.us/Sessions/10%20Regular/resolutions/house/HJR05.pdfhttp://legis.state.nm.us/Sessions/10%20Regular/resolutions/house/HJR05.pdfhttp://legis.state.nm.us/Sessions/10%20Regular/resolutions/house/HJR05.pdfhttp://legis.state.nm.us/Sessions/10%20Regular/resolutions/house/HJR05.pdfhttp://www.nmlegis.gov/lcs/_session.aspx?Chamber=S&LegType=JR&LegNo=2&year=10http://www.nmlegis.gov/lcs/_session.aspx?Chamber=S&LegType=JR&LegNo=2&year=10http://www.nmlegis.gov/lcs/_session.aspx?Chamber=S&LegType=JR&LegNo=2&year=10http://www.nmlegis.gov/lcs/_session.aspx?Chamber=S&LegType=JR&LegNo=2&year=10http://www.nmlegis.gov/lcs/_session.aspx?Chamber=S&LegType=JR&LegNo=2&year=10http://www.nmlegis.gov/lcs/_session.aspx?Chamber=S&LegType=JR&LegNo=2&year=10http://legis.state.nm.us/Sessions/10%20Regular/resolutions/house/HJR05.pdfhttp://nmlegis.gov/Sessions/09%20Regular/firs/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/house/HJR10.pdfhttp://nmlegis.gov/Sessions/09%20Regular/resolutions/senate/SJR01.pdfhttp://www.njleg.state.nj.us/2010/Bills/SCR/81_I1.HTMhttp://www.njleg.state.nj.us/2010/Bills/ACR/109_I1.HTMhttp://www.gencourt.state.nh.us/legislation/2010/CACR0030.html -
8/9/2019 NCSL Health Care Reaction Report.
12/24
NorthDakota HCR3010byRep.Kasper (JointResolution), a proposed2010constitutional amendmentbasedon Arizona language.
Wouldpropose an amendmenttothe State Constitution; relatesto freedomof choice in health care; prohibitslawsthatrestrict an
individual'schoice of private health care systemsorprivate plans,interfere with a person'srighttopay forlawfulmedicalservices,or
impose a penaltyor fine forchoosingtoobtain ordecline health care coverage or forparticipation in any health care systemorplan."
(Filed1/14/09, failedtopass
House3/4/09byendof2009
session; noregularsessionin
2010)
50% both legislative chambers
+
future yearballot
vote
Ohio SJR2of 2009bySen.Coughlin; SJR7bySen.Grendell; HJR3byRep.Maag
Jointresolutions for a proposedconstitutional amendmenttostate, " The people of Ohio have the rightto enterintocontractswith
health care providers... andtopurchase private health care coverage" Wouldprohibitstate lawsrequiringcoverage orimposing fines.
For "obtainingordeclining" coverage.
(SJR2 filed2/24/09;pendingin
Senatecommittee asof10/29/09)
(SJR7 filed9/29/09;sentto
Senate Insurance,CommerceComm.)
(HJR3 filed 8/26/09;sentto
InsuranceComm.9/15/09; no floor
votesin2009;carriedoverto
2010)
60% both legislative chambers
+
2010ballotvote
Oklahoma HJR1054byRep.Ritze
Jointresolution for a proposedconstitutional amendmentstating, "Alaworrule shall notcompel,directlyorindirectly, anyperson,
employeror health care providertoparticipate in any health care system; andAperson or employermaypaydirectly forlawful health
care services andshall notbe requiredtopaypenaltiesor fines" forlackof insurance.
(Filed12/22/09;senttoRules
Comm.2/2/10)
50% both legislative chambers
+
2010ballotvote
Pennsylvania HB2053byRep.Baker
Proposedstatute "providing forthe rightsof individualstopurchase private health care insurance andprohibitingcertain governmental
action." States, "The people shall have the rightto enterintoprivate contractswith health care providers for health care services andto
purchase private health care coverage. The legislature may notrequire anyindividualtoparticipate in any health care systemorplan,
normayitimpose a penaltyor fine,of anytype, forchoosingtoobtain ordecline health care coverage or forparticipation in any
particular health care systemorplan."
(Filedandsentto Insurance
Committee,
10/21/09; no floorvotein2009; carriedoverto
2010)
Proposedstatute:
majorityboth
legislative chambers
http://www.legis.nd.gov/assembly/61-2009/bill-text/JGFK0100.pdfhttp://www.legis.nd.gov/assembly/61-2009/bill-text/JGFK0100.pdfhttp://www.legis.nd.gov/assembly/61-2009/bill-text/JGFK0100.pdfhttp://www.legis.nd.gov/assembly/61-2009/bill-text/JGFK0100.pdfhttp://www.legis.nd.gov/assembly/61-2009/bill-text/JGFK0100.pdfhttp://www.legislature.state.oh.us/res.cfm?ID=128_SJR_2http://www.legislature.state.oh.us/res.cfm?ID=128_SJR_2http://www.legislature.state.oh.us/res.cfm?ID=128_SJR_2http://www.legislature.state.oh.us/res.cfm?ID=128_SJR_2http://www.legislature.state.oh.us/res.cfm?ID=128_SJR_2http://www.legislature.state.oh.us/res.cfm?ID=128_SJR_7http://www.legislature.state.oh.us/res.cfm?ID=128_SJR_7http://www.legislature.state.oh.us/res.cfm?ID=128_SJR_7http://www.legislature.state.oh.us/res.cfm?ID=128_SJR_7http://www.legislature.state.oh.us/res.cfm?ID=128_SJR_7http://www.legislature.state.oh.us/res.cfm?ID=128_HJR_3http://www.legislature.state.oh.us/res.cfm?ID=128_HJR_3http://www.legislature.state.oh.us/res.cfm?ID=128_HJR_3http://www.legislature.state.oh.us/res.cfm?ID=128_HJR_3http://www.legislature.state.oh.us/res.cfm?ID=128_HJR_3http://webserver1.lsb.state.ok.us/CF/2009-10%20SUPPORT%20DOCUMENTS/BILLSUM/House/HJR1054%20INT%20BILLSUM.dochttp://webserver1.lsb.state.ok.us/CF/2009-10%20SUPPORT%20DOCUMENTS/BILLSUM/House/HJR1054%20INT%20BILLSUM.dochttp://webserver1.lsb.state.ok.us/CF/2009-10%20SUPPORT%20DOCUMENTS/BILLSUM/House/HJR1054%20INT%20BILLSUM.dochttp://webserver1.lsb.state.ok.us/CF/2009-10%20SUPPORT%20DOCUMENTS/BILLSUM/House/HJR1054%20INT%20BILLSUM.dochttp://webserver1.lsb.state.ok.us/CF/2009-10%20SUPPORT%20DOCUMENTS/BILLSUM/House/HJR1054%20INT%20BILLSUM.dochttp://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=PDF&sessYr=2009&sessInd=0&billBody=H&billTyp=B&billNbr=2053&pn=2829http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=PDF&sessYr=2009&sessInd=0&billBody=H&billTyp=B&billNbr=2053&pn=2829http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=PDF&sessYr=2009&sessInd=0&billBody=H&billTyp=B&billNbr=2053&pn=2829http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=PDF&sessYr=2009&sessInd=0&billBody=H&billTyp=B&billNbr=2053&pn=2829http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=PDF&sessYr=2009&sessInd=0&billBody=H&billTyp=B&billNbr=2053&pn=2829http://webserver1.lsb.state.ok.us/CF/2009-10%20SUPPORT%20DOCUMENTS/BILLSUM/House/HJR1054%20INT%20BILLSUM.dochttp://www.legislature.state.oh.us/res.cfm?ID=128_HJR_3http://www.legislature.state.oh.us/res.cfm?ID=128_SJR_7http://www.legislature.state.oh.us/res.cfm?ID=128_SJR_2http://www.legis.nd.gov/assembly/61-2009/bill-text/JGFK0100.pdf -
8/9/2019 NCSL Health Care Reaction Report.
13/24
South Carolina HJR4181byRep.Scott; SJR980bySen.Bright; SJR1010bySen.Rose.
Resolution for a proposedconstitutional amendment, "prohibiting anylaw,regulation,orrule tocompel an individual, employer,or
health care providertoparticipate in a health care system,by allowingindividuals and employerstopaydirectly forlawful health care
serviceswithoutpenaltiesor fines forthese directpayments,byprovidingthatthe purchase orsale of health insurance in private health
care systemsmust notbe prohibitedbylaw,regulation,orrule."
The resolution title states, "...topreempt any federal laworrule thatrestricts a person'schoice of private health care providersorthe
righttopay formedicalservices."
(HJR4181 filed for2010session;
senttoCommitteeonLabor,
Commerce and Industry,11/17/09)
(SJR980andSJR1010 filed;sent
toSenateJudiciaryCommittee
1/12/10)
50% both legislative chambers
+
2012ballotvote
South
Dakota
HJR1001byRep.Jensen
Resolution for a proposedconstitutional amendment,stating "The Legislature may not enact a lawthatrestricts an individual's freedom
of choice of private health care systemsorprivate plansof anytype; a lawthatinterfereswith a person'srighttopaydirectly forlawful
medic
alservic
es;or
alaw
tha
timpos
es
apena
ltyor
fine
of an
ytyp
e for
choosi
ng
to
obt
ainor
decli
ne healt
hcare
coverageor
for
participation in anyparticular health care systemorplan."
(Filed1/28/10;sentto
committees2/10/10; didnotpass
committee "deferred "pastendof
session,2/18/10))
50% both legislative chambers
+
2010ballotvote
Tennessee SB2490bySen.Black; SB2560bySen.Black; SB3498bySen.Beavers; HB2622byRep.Lynn; HB2654; HB3433byRep.Bell
Would amendstate lawby adding a "Tennessee Freedomof Choice in Health Care Act.
(Filedtocommittees for2010
session)
(SB2560,HB2622reassignedto
comm,2/22/10,3/17/10)
SB3498passedSenate engrossed,
29Y-1n,2/22/10;toHouse)
Proposedstatute:
majorityboth legislative
chambers
http://www.scstatehouse.gov/cgi-bin/web_bh10.exe?bill1=4181&session=118&summary=Thttp://www.scstatehouse.gov/cgi-bin/web_bh10.exe?bill1=4181&session=118&summary=Thttp://www.scstatehouse.gov/cgi-bin/web_bh10.exe?bill1=4181&session=118&summary=Thttp://www.scstatehouse.gov/cgi-bin/web_bh10.exe?bill1=4181&session=118&summary=Thttp://www.scstatehouse.gov/cgi-bin/web_bh10.exe?bill1=4181&session=118&summary=Thttp://www.scstatehouse.gov/sess118_2009-2010/bills/980.htmhttp://www.scstatehouse.gov/sess118_2009-2010/bills/980.htmhttp://www.scstatehouse.gov/sess118_2009-2010/bills/980.htmhttp://www.scstatehouse.gov/sess118_2009-2010/bills/980.htmhttp://www.scstatehouse.gov/sess118_2009-2010/bills/980.htmhttp://legis.state.sd.us/sessions/2010/Bills/HJR1001P.pdfhttp://legis.state.sd.us/sessions/2010/Bills/HJR1001P.pdfhttp://legis.state.sd.us/sessions/2010/Bills/HJR1001P.pdfhttp://legis.state.sd.us/sessions/2010/Bills/HJR1001P.pdfhttp://legis.state.sd.us/sessions/2010/Bills/HJR1001P.pdfhttp://www.capitol.tn.gov/Bills/106/Bill/SB2490.pdfhttp://www.capitol.tn.gov/Bills/106/Bill/SB2490.pdfhttp://www.capitol.tn.gov/Bills/106/Bill/SB2490.pdfhttp://www.capitol.tn.gov/Bills/106/Bill/SB2490.pdfhttp://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=SB2560http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=SB2560http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=SB2560http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=SB2560http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB3433http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB3433http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB3433http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB3433http://www.capitol.tn.gov/Bills/106/Bill/HB2622.pdfhttp://www.capitol.tn.gov/Bills/106/Bill/HB2622.pdfhttp://www.capitol.tn.gov/Bills/106/Bill/HB2622.pdfhttp://www.capitol.tn.gov/Bills/106/Bill/HB2622.pdfhttp://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB3433http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB3433http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB3433http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB3433http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB3433http://www.capitol.tn.gov/Bills/106/Bill/HB2622.pdfhttp://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB3433http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=SB2560http://www.capitol.tn.gov/Bills/106/Bill/SB2490.pdfhttp://legis.state.sd.us/sessions/2010/Bills/HJR1001P.pdfhttp://www.scstatehouse.gov/sess118_2009-2010/bills/980.htmhttp://www.scstatehouse.gov/cgi-bin/web_bh10.exe?bill1=4181&session=118&summary=T -
8/9/2019 NCSL Health Care Reaction Report.
14/24
HJR0745byLynn
Resolution for a proposedconstitutional amendment,stating - Prohibitslawsorrulesthatwouldcompel anyperson, employer,or health
care providertoparticipate in any health care system.
(Filed1/21/10;sentto
committees,2/22/10;pending
3/14/10)
50% both legislative chambers
+
2012ballotvote
Utah H67 for2010session byRep. Wimmer
Would amendprovisionsrelatedtothe state'sstrategicplan for health systemreformtorespondto federalreform efforts; prohibits a
state agencyordepartment fromimplementing anyprovision of the federal health care reformwithout firstreportingtothe
Legislature: whetherthe federal actcompelsthe state to adoptthe particular federalprovision; consequencestothe state if the state
refusesto adoptthe particular federalprovision; andimpacttothe citizensof the state if reform efforts are implementedor not
implemented; wouldrequire any agencyof the state nottoimplement anypartof federal health care reformpassedbythe USCongress
afterMarch 1,2010, unlessthe departmentor agencyreportstothe Legislature andthe Legislature passeslegislation "specifically
authorizingthe state'scompliance orparticipation in, federal health care reform."
(Prefiled12/23/2009; passedHouse
amended,53y-20n,2/11/10;
passedSenate22y-7n;
enrolled3/9/10;3/18/10)
Newsarticles 4,7
Proposedstatute:
majorityboth legislativechambers
Virginia
Virginia
HJ7by Del.Marshall
Resolution for a proposedconstitutional amendment,toprotect "an individual'sright andpowertoparticipate ortodecline toparticipate
in a health care systemorplan; prohibiting anylawthatwillinfringe on an individual'srighttopay forlawfulmedicalservices and
prohibitingthe adoption of anylawthatimposes a penalty,tax,or fine upon an individualwhodeclinesto enterinto a contract for
health care coverage ortoparticipate in a health care systemorplan.
(Filed for2010andsentto
committee12/9/09) [Alsosee
billsbelow]
50% both legislative chambers
+
2012ballotvote
http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HJR0745http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HJR0745http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HJR0745http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HJR0745http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HJR0745http://le.utah.gov/~2010/htmdoc/hbillhtm/hb0067s01.htmhttp://le.utah.gov/~2010/htmdoc/hbillhtm/hb0067s01.htmhttp://le.utah.gov/~2010/htmdoc/hbillhtm/hb0067s01.htmhttp://www.ncsl.org/IssuesResearch/Health/StateLegislationOpposingCertainHealthReforms/tabid/18906/Default.aspx#ftn4http://www.ncsl.org/IssuesResearch/Health/StateLegislationOpposingCertainHealthReforms/tabid/18906/Default.aspx#ftn7http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=hj7http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=hj7http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=hj7http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=hj7http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=hj7http://www.ncsl.org/IssuesResearch/Health/StateLegislationOpposingCertainHealthReforms/tabid/18906/Default.aspx#ftn7http://www.ncsl.org/IssuesResearch/Health/StateLegislationOpposingCertainHealthReforms/tabid/18906/Default.aspx#ftn4http://le.utah.gov/~2010/htmdoc/hbillhtm/hb0067s01.htmhttp://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HJR0745 -
8/9/2019 NCSL Health Care Reaction Report.
15/24
SB283bySen. Quayle; SB311bySen.Martin; SB417bySen.Holtzman Vogel,HB10by Del.Marshall.
Amendsstate lawby adding a section, "Health insurance coverage notrequired.Noresidentof thisCommonwealth,regardlessof
whether he hasoris eligible for health insurance coverage under anypolicyorprogramprovidedbyorthrough his employer,or a plan
sponsoredbythe Commonwealth orthe federalgovernment,shallbe requiredtoobtain ormaintain a policyof individualinsurance
coverage. Noprovision of thistitle shallrender a residentof thisCommonwealth liable for anypenalty, assessment, fee,or fine as a
resultof his failure toprocure orobtain health insurance coverage." Itdoes not applytoMedicaid andCHIPcoverage.
(Filed for2010session1/13/10;
SB 283,SB311 andSB417
passedSenate23y-17n,2/1/10;
passedHouse67y-29n,2/12/10;
senttogovernor; amendedand
repassed Senate3/4/10and
House ;becamelaw 3/10/10)
*UnderVirginialaw,theGovernor
excercisedhisoptiontoreturn
thebilltothelegislaturewith a
formalrecommendedamendment.
Bothbranchesofthelegislature
votedtoaccepttheGovernor's
recommendation, atwhichpointthe
billsbeamelawwithoutrequiring
theGovernor'ssignature.
[newsarticle s:VA 2/10/2010 ;
BostonGlobe 3/8/2010 ]
Proposedstatute:
majorityboth legislative
chambers
Washington HB2669byRep.Hinkle
Would amendstate lawby adding a provision thatthe state "shall notdirectlyorindirectlycompel anyperson, employer,or health care
providertoparticipate in any health care system." andthat " Aperson or employermaypaydirectly forlawful health care services and
shall notbe requiredtopay anypenalty, fine,orothersanction forpayingdirectly forlawful health care services.
(Filed &senttoHealth&
WellnessComm.1/12/2010)
Proposedstatute:
majorityboth legislative
chambers
http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb283http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb283http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb283http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb283http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb311http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb311http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb311http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb311http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb417http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb417http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb417http://leg1.state.va.us/cgi-bin/legp504.exe?ses=101&typ=bil&val=sb417http://leg1.state.va.us/cgi-bin/legp504.exe?101+ful+HB10http://leg1.state.va.us/cgi-bin/legp504.exe?101+ful+HB10http://leg1.state.va.us/cgi-bin/legp504.exe?101+ful+HB10http://leg1.state.va.us/cgi-bin/legp504.exe?101+ful+HB10http://hamptonroads.com/2010/01/bill-stating-no-one-can-be-forced-buy-health-insurance-advancedhttp://hamptonroads.com/2010/01/bill-stating-no-one-can-be-forced-buy-health-insurance-advancedhttp://hamptonroads.com/2010/01/bill-stating-no-one-can-be-forced-buy-health-insurance-advancedhttp://hamptonroads.com/2010/01/bill-stating-no-one-can-be-forced-buy-health-insurance-advancedhttp://hamptonroads.com/2010/01/bill-stating-no-one-can-be-forced-buy-health-insurance-advancedhttp://apps.leg.wa.gov/billinfo/summary.aspx?bill=2669&year=2009http://apps.leg.wa.gov/billinfo/summary.aspx?bill=2669&year=2009http://apps.leg.wa.gov/billinfo/summary.aspx?bill=2669&year=2009http://apps.leg.wa.gov/billinfo/summary.aspx?bill=2669&year=2009http://apps.leg.wa.gov/billinfo/summary.aspx?bill=2669&year=2009http://hamptonroads.com/2010/01/bill-stating-no-one-can-be-forced-buy-health-insurance-advancedhttp: