On May 11, 2011, GOP legislative leadership filed an Amicus brief challenging the constitutionality – especially the individual mandate – of the Patient Protection and Affordable Care Act (Obamacare.) Senate President Pro Tem Berger (R-Rockingham), Senate Majority Leader Harry Brown (R-Onslow), House Speaker Thom Tillis (R-Mecklenberg), and House Majority Leader Skip Stam (R-Wake) all signed the “friend of the court” brief.
Earlier in the session, the legislature passed HB 2 the Protect Healthcare Freedom Act, which would have allowed North Carolina to join 26 other states in a lawsuit challenging the constitutionality of the federal law. However, Governor Perdue vetoed the bill and the legislature was unsuccessful in overriding the veto. Instead, North Carolina has joined Minnesota in filing an Amicus brief to the lawsuit currently in the U.S. Court of Appeals for the Eleventh Circuit.
An Amicus brief is filed by an individual or an entity that is not a party to the litigation but has an interest in its outcome, usually siding with one of the parties to the case. These briefs can be important because they provide unique perspectives and legal arguments that may be different from the involved parties’ views.
The legislature’s brief argues Obamacare is unconstitutional because its “individual mandate is not a valid regulation of economic activity” and that it dramatically expands Medicaid which forces the states to eventually absorb these costs. GOP leadership has argued that the federal government is encroaching on states rights and individual liberties by forcing individuals to purchase health insurance and forcing states to absorb additional healthcare costs.
With the recent filing of the Amicus brief, it is somewhat puzzling that the same GOP-led legislature is also quickly pushing through an unnecessary health insurance exchange bill in response to Obamacare.
Under ObamaCare, the states “shall” establish a health insurance exchange. If a state chooses not to provide its own exchange by January 1, 2014, the federal government, under the Health and Human Services Secretary, will set up an exchange for it. However, so far, there has been little guidance from the federal government on key questions about what the exchanges should include and how they should be run.
The state health insurance exchange bill, HB 115 would set up an exchange with a mix of federal money and funds from the state’s high-risk pool as well as fees on those who buy insurance policies through the exchange. It would be governed by a 12 member board of directors comprised of businesses, health insurance, medical provider and public representatives.
Based on other states’ exchange experiences, however, these programs bear little resemblance to a market-based healthcare system. Instead of individuals purchasing among a wide variety of private insurance plans and taking personal ownership of their coverage, an exchange expands enrollment in public programs like Medicaid and constricts consumer health choice.
The constitutionality of Obamacare has yet to be determined as the U.S. Supreme Court is unlikely to hear the case until next year. Because its constitutionality is undetermined and because we have until 2014 and probably beyond based on the HHS’ postponed deadlines, there is no rush to set up an exchange process this year. In a time of a major budget crisis, why waste money and resources setting up a health benefits exchange when our own state leadership thinks Obamacare should be held unconstitutional? If the federal law and its required exchanges are found unconstitutional, the exchange program becomes completely moot.
Only when and if Obamacare is upheld, should our legislature worry about researching and setting up a health benefits exchange. And if it is required, North Carolina and its legislators should implement an exchange that is as competitive and market-driven as possible to ensure patients receive the best options available.
Keith Smith says
Why is the NC Legislature wasting taxpayer money to set up a Benefits Exchange when there is great doubt that ObamaCare will ever become a working program???
RAY says
NC LEGISLATURE NEEDS TO GET OFF THE POT! OBAMACARE IS BAD FOR THE STATE AND STATE RESIDENTS. DO YOUR JOB
Louis Stannard says
I urge you to join the new Congressional majority and the desires of the citizens of North Carolina to elimnate the mandates of Obamacare.
Judge Vinson has declared the Health Care Bill unconstitutional. Continuing to implement the HCB will incur spending right away which could be for nothing.
The country and the state is broke. The country is headed for financial Armageddon. Obamacare will exacerbate our headlong rush to disaster.
Since its inception, well over 50% of the electorate have rejected the idea of a Government run health care system.
Most Americans realize that with the exception of the military, almost nothing run by the Federal Government works. Everything is over budget. Yet for her own political expediency, Governor Purdue persists in supporting this bill that controls will suck up 1/6th of the Federal budget.
Because no one in Congress knew some provisions of the 2000 plus page bill, only now are we finding out from the CBO some of its provisions such as double accounting and hidden funding of 105 plus billion dollars.
Already over 1000 waivers have been granted to “friends of the administration”.
Then, there are multiple provisions of the bill that aren’t about healthcare at all. As one member who has been in Congress far too long said, and I paraphrase: “Now that it’s passed, it will take us a couple of years to write the regulations to control the people!” This is certainly not what the founders had in mind for limited government. Please listen to the people and help us defeat this unconstitutional abomination.
Sincerely,
Louis Stannard, one of 3800 and growing FTTF activist,
Louis Stannard says
I urge you to join the new Congressional majority and the desires of the citizens of North Carolina to eliminate the mandates of Obamacare.
Judge Vinson has declared the Health Care Bill unconstitutional. Continuing to implement the HCB will incur spending right away which could be for nothing.
The country and the state is broke. The country is headed for financial Armageddon. Obamacare will exacerbate our headlong rush to disaster.
Since its inception, well over 50% of the electorate have rejected the idea of a Government run health care system.
Most Americans realize that with the exception of the military, almost nothing run by the Federal Government works. Everything is over budget. Yet for her own political expediency, Governor Purdue persists in supporting this bill that controls will suck up 1/6th of the Federal budget.
Because no one in Congress knew some provisions of the 2000 plus page bill, only now are we finding out from the CBO some of its provisions such as double accounting and hidden funding of 105 plus billion dollars.
Already over 1000 waivers have been granted to “friends of the administration”.
Then, there are multiple provisions of the bill that aren’t about healthcare at all. As one member who has been in Congress far too long said, and I paraphrase: “Now that it’s passed, it will take us a couple of years to write the regulations to control the people!” This is certainly not what the founders had in mind for limited government. Please listen to the people and help us defeat this unconstitutional abomination.
Sincerely,
Louis Stannard, one of 3800 and growing FTTF activist,
James Kilgore says
Once we vote out the current gov. and Att. General, NC needs to get onboard with overturning Obama Care, dealing with all illegal aliens who are draining our cities and counties with “free” health care, education, etc. at the tax payers expense. We need people in Raleigh who will do the right thing for NC citizens regardless of politics. Those who aren’t listening to the people will get voted out in the next election and many of them are Republicans.
Lloyd says
HB 115 is an terrible piece of legislation. The GOP legislators are failing to follow through on their promises. They are disregarding the will of those that elected them. In 2012, we will elect Conservatives, not RINO’s.