The Cato Institute last week issued a reported titled, “50 Vetoes: How States Can Stop the Obama Health Care Law,” which urged other states to follow Oklahoma’s lead and refuse to establish exchanges. They also said Pruitt’s lawsuit was one that could be the downfall of ObamaCare. Thirty three other states have said they are not building exchanges, but none have the lawsuit challenging the authority of the feds to impose a tax without statutory authority. You can read the entire report at http://www.cato.org/multimedia/daily-podcast/50-vetoes-how-states-can-stop-obama-health-care-law
"Oklahoma is in a unique position with the only active lawsuit against the Affordable Care Act to hold the federal government accountable in how it implements the law. Now that the Supreme Court has deemed the ACA a tax, and therefore constitutional, the federal government must follow the law and proper procedures, and that is not being done,” Pruitt said. If Oklahoma doesn’t build an exchange, neither the subsidies nor the penalties can come to the state, Pruitt argues.
“A critical mass of states exercising their vetoes over exchanges and the Medicaid expansion can force Congress to reconsider, and hopefully repeal, the rest of this counterproductive law,” the Cato report says. Don’t bet on that. So called trailer bills or clean up bills are seldom run and when they are they usually don’t make a great deal of difference. That doesn’t mean states shouldn’t pressure their federal delegations to work for repeal of ObamaCare.
One of the most controversial provisions of ObamaCare is the expansion of Medicaid. Under OmabamaCare, the federal government would pay 100 percent of the cost of new benefits for the first three years of Medicaid expansion. After that, a share of the costs would be shifted to the states, with the state’s share capping at 10 percent in 2022. Fallin has argued that the state can’t rely on the federal reimbursement promises.