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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983089 983090 983091 983123 983151 983157 983156 983144 983110 983145 983143 983157 983141 983154 983151 983137 983123 983156 983154 983141 983141 983156

983123 983157 983145 983156 983141 983089 983094 983089 983092

983116 983151 983155 983105 983150 983143 983141 983148 983141 983155 983084 983107 983105 983097 983088 983088 983089 983090

983090 983089 983091 983086 983097 983091 983093 983086 983088 983093 983093 983091

983145 983150 983142 983151 983104 983156 983141 983150 983156 983144 983137 983149 983141 983150 983140 983149 983141 983150 983156 983139 983141 983150 983156 983141 983154 983086 983139 983151 983149

983124983144983145983155 983155983156983137983156983141983085983138983161983085983155983156983137983156983141 983155983156983154983137983156983141983143983161 983145983155 983137983150 983141983142983142983141983139983156983145983158983141 983141983150983140983085983154983157983150 983137983154983151983157983150983140

983156983144983141 983127983137983155983144983145983150983143983156983151983150 983108983086983107983086 983152983151983148983145983156983145983139983137983148 983141983155983156983137983138983148983145983155983144983149983141983150983156983086 983113983150983139983148983157983140983141983140 983144983141983154983141

983145983155 983137983150 983151983158983141983154983158983145983141983159983084 983156983144983141 983148983141983143983137983148 983138983137983155983145983155983084 983137983150983140 983156983144983141 983149983151983140983141983148 983148983141983143983145983155983148983137983156983145983151983150 983142983151983154

983155983156983137983156983141983155 983148983137983159983149983137983147983141983154983155 983156983151 983145983150983156983154983151983140983157983139983141983086

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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

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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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

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

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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

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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

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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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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

8132019 How States Can Stop Obamacare Handbook for State Legislators

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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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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

8132019 How States Can Stop Obamacare Handbook for State Legislators

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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

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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

983127983141 983144983141983148983140 983145983150 983118983141983159

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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

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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

983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124

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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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983151983150983141991257 991261 983106983151983150983140 564 983125 983123 983137983156 983135983135983135 (983155983148983145983152

983151983152 983137983156 8) (983153983157983151983156983145983150983143 A983148983140983141983150 983158 983117983137983145983150983141

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

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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

983138983141 983156983144983137983156 983159983144983141983154983141 983156983144983141 983141983150983140 983145983155 983154983141983153983157983145983154983141983140

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M

991260983124983144983141 983155983156983137983156983141983155 983139983137983150983150983151983156983084

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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

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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

983127983141 983144983141983148983140 983145983150 983118983141983159

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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

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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

983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124

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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

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

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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

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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

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

991260983124983144983141 983155983156983137983156983141983155 983139983137983150983150983151983156983084

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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

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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

983127983141 983144983141983148983140 983145983150 983118983141983159

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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

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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

983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124

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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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991256983139983151983150983156983154983137983139983156991257 991261 983120983141983150983150983144983157983154983155983156 983155983157983152983154983137 983137983156 17

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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

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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

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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

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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

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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

983127983141 983144983141983148983140 983145983150 983118983141983159

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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

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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

983112983119983127 983123983124A983124983109983123 983107A983118 983123983124983119983120 983124983112983109 A983110983110983119983122983108A983106983116983109 983107A983122983109 A983107983124

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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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983151983150983141991257 991261 983106983151983150983140 564 983125 983123 983137983156 983135983135983135 (983155983148983145983152

983151983152 983137983156 8) (983153983157983151983156983145983150983143 A983148983140983141983150 983158 983117983137983145983150983141

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

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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

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

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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 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

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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 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

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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