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9/28/12 Proposition E Puts Health Care Back on Missouri Ballots « CBS St. Louis
1/5stlouis.cbslocal.com/2012/09/28/proposition-e-puts-health-care-back-on-missouri-ballots/
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JEFFERSON CITY, Mo. (MDN) – Although the
U.S. Supreme Court affirmed the
constitutionality of the new federal health care
law, Missouri voters will get to cast ballots in
November on another of the law’s key
components — insurance exchanges.
Proposition E on the November ballot would
prohibit Gov. Jay Nixon or any state agency from
setting up a health insurance exchange without
the approval of the legislature or the state’s
voters.
A health insurance exchange is a Web-based marketplace for
consumers to compare insurance plans. The exchanges are a central
part of the federal law because they are intended to help individuals
and small businesses purchase insurance at an affordable rate to
comply with another part of the federal law that mandates most
people own health insurance.
Nixon has said in the past that his administration would not move to
set up an insurance exchange by decree. But some Republican
legislators say they want to make sure the Democratic governor is
barred from doing so if he wins a second term, especially after the
U.S. Supreme Court upheld the law in a 5-4 decision on June 28.
And tea party groups, which have strongly opposed the federal law,
have signaled their support for Proposition E as a way to stave off its
implementation.
But Ron Staggs, who heads the group “9-12 We The People of
Monroe County” with his wife, said he expects many of his members to
turn out against a law they consider anathema.
Proposition E Puts Health Care Back onMissouri BallotsWes Duplantier
September 28, 2012 2:36 PM
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9/28/12 Proposition E Puts Health Care Back on Missouri Ballots « CBS St. Louis
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“By blocking the governor
and the Insurance
commission without a vote
from the legislature,
ObamaCare can be
effectively blocked in the
state of Missouri,” Staggs
said in a phone interview.
That block would only be
temporary. The federal law
requires there to be an
exchange in every state by
2014—even if it means
that federal authorities
have to set up an
exchange without a state’s
permission.
That requirement is one of
the reasons Proposition E has not gotten as much attention as
Proposition C, a measure on the August 2010 ballot that would bar
the government from mandating that people purchase insurance,
another central tenet of the federal law.
Missouri voters backed Proposition C by a more than 2-to-1 margin in
2010. But at the time, the constitutionality of the federal law was still
being weighed by courts around the country.
The U.S. Supreme Court’s ruling, however, makes it nearly certain
that the requirement for health care exchanges will take effect unless
congressional Republicans manage to repeal the law.
That has groups who supported the law, such as Missouri Health
Care for All, saying that Missouri should simply prepare its own
exchange.
“Prop E is really just an attempt to continue to use health care reform
for political gain because there’s really going to be no practical effect
because health reform, the Affordable Care Act, is the law of the
land,” said MHCA President Susan Talve, a St. Louis rabbi, in a
telephone interview.
This year’s ballot measure did garner attention throughout the
summer as conservative politicians challenged ballot summary
language crafted by outgoing Democratic Secretary of State Robin
Carnahan, who is not running for re-election.
Carnahan’s original summary asked whether state law should be
amended to “deny individuals, families, and small businesses the
ability to access affordable health care plans” through an insurance
exchange, phrasing that Republican lawmakers and Lt. Gov. Peter
Kinder immediately decried as partisan.
Late last month, a Cole County circuit court judge revised the
summary language to say that the governor would be blocked from
creating the exchange by executive order.
Not all Republicans are opposed to the creation of a state health
insurance exchange. In 2011, state Rep. Chris Molendorp sponsored
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9/28/12 Proposition E Puts Health Care Back on Missouri Ballots « CBS St. Louis
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legislation to set up such a marketplace. The measure passed with no
opposition in the state House, but hit a wall in the Senate.
In pushing his measure last year, Molendorp said that setting up an
insurance exchange could take a year or more, so Missouri needs to
start the process soon if it wants to have its own exchange in time to
meet the federal deadline.
Molendorp, R-Belton, handled in the House the legislation that
created Proposition E.
In an interview on the sidelines of the legislative veto session earlier
this month, he said that if voters approve the measure, the legislature
should craft the state’s exchange themselves rather than waiting for
federal action.
He said Missouri’s insurance market has many factors that make it too
unique for federal rules, including the disparities between the state’s
two large metropolises and its many rural areas.
“We have, I think, a very legitimate reason to set up our own unique
exchange tailored to the complexities of the Missouri health care and
the Missouri insurance market,” he said.
(TM and © Copyright 2012 CBS Radio Inc. and its relevant
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Broadcasting Inc. Used under license. All Rights Reserved. This
material may not be published, broadcast, rewritten, or redistributed.
The Missouri Digitial News contributed to this report.)
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9/28/12 Proposition E Puts Health Care Back on Missouri Ballots « CBS St. Louis
5/5stlouis.cbslocal.com/2012/09/28/proposition-e-puts-health-care-back-on-missouri-ballots/