House Key Vote Alert: Oppose $31M for Health Care Exchanges, HB 4111

February 27, 2013

Dear Representatives:

On behalf of more than 87,000 Americans for Prosperity-Michigan activists across Michigan, I strongly urge you to oppose House Bill 4111, a $30.6 million supplemental appropriation for federal funds to help implement a state-federal partnership health exchange. These exchanges are the central way that the federal government will exact control over the state health insurance markets.

Although federal HHS is trying desperately to have the exchanges viewed as providing flexibility, state legislators and governors across the country are rebelling at the prospects of being nothing more than an administrative arm of the federal government.

I urge you to vote NO on HB 4111. Americans for Prosperity-Michigan will include this vote in our legislative scorecard.

These expensive, complex, and intrusive exchanges impose a threat to the financial stability of Michigan with no certainty of a limit to total enrollment numbers. Resisting the implementation of exchanges is good for hiring and investment. The law’s employer mandate assesses penalties – up to $3,000 per employee – only to businesses who don’t satisfy federally-approved health insurance standards and whose employees receive “premium assistance” through the exchanges.

The clear language of the statute only permits federal premium assistance to citizens of states who create a state-based exchange. However, the IRS recently finalized a regulation that contradicts the law by allowing the federal government to provide premium assistance to citizens in those states that have not created exchanges. The IRS had no authority to finalize such a regulation. By refusing to create an exchange, you will assist us in Congress to repeal this violation which will help lower the costs of doing business in your state, relative to other states that keep these financially draining exchanges in place.

State-run exchanges are subject to all of the same coverage mandates and rules as the federally-run exchange. Clearing the hurdles of crafting an exchange that complies with the 600 plus pages of federal exchange regulations will only result in wasted state resources and higher premiums for your constituents.

Implementation of this law is not inevitable and considering more than half of the American people oppose the law, it is improbable. Join us in resisting a centralized government approach to health care reform and instead focus on solutions that make health care more affordable and accessible for every American. Let’s work to create a health care system of, for, and by the people, not government or special interests.

I urge you to vote NO on HB 4111. Americans for Prosperity-Michigan will include this vote in our legislative scorecard. 


Scott Hagerstrom
State Director
Americans for Prosperity-Michigan

Like this post? Chip in $5 to AFP