LEADER 02641nam 2200529Ia 450 001 9910817196603321 005 20200520144314.0 035 $a(CKB)2550000001043138 035 $a(SSID)ssj0000990123 035 $a(PQKBManifestationID)11559546 035 $a(PQKBTitleCode)TC0000990123 035 $a(PQKBWorkID)10980368 035 $a(PQKB)10752901 035 $a(MiAaPQ)EBC1354366 035 $a(Au-PeEL)EBL1354366 035 $a(CaPaEBR)ebr10682165 035 $a(CaONFJC)MIL472132 035 $a(OCoLC)842851385 035 $a(EXLCZ)992550000001043138 100 $a20130419d2013 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 10$a50 vetoes $ehow states can stop the Obama health care law /$fMichael F. Cannon 205 $a1st ed. 210 $aWashington, D.C. $cCato Institute$dc2013 215 $a57 p. 300 $aBibliographic Level Mode of Issuance: Monograph 311 $a1-939709-05-9 320 $aIncludes bibliographical references. 327 $aFront Cover -- Title Page -- Copyright -- Back Cover. 330 $aThe Patient Protection and Affordable Care Act (PPACA) remains vulnerable to repeal, largely because Congress and the Supreme Court have granted each state the power to veto major provisions of the law before they take effect in 2014. The PPACA itself empowers states to block the employer mandate, to exempt many of their low- and middle-income taxpayers from the individual mandate, and to reduce federal deficit spending, simply by not establishing a health insurance "exchange." To date, 34 states have refused to create Exchanges and some 16 states have announced they would not expand their Medicaid programs. Yet the Obama administration is trying to coerce states into implementing parts of the expansion that the Court rendered optional. This special White Paper provides a comprehensive review of the process now occurring between states and the Obama Administration, underscoring how 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 the PPACA. 517 3 $aFifty vetoes 606 $aHealth care reform$xPolitical aspects$zUnited States 606 $aMedical policy$zUnited States 615 0$aHealth care reform$xPolitical aspects 615 0$aMedical policy 700 $aCannon$b Michael F$01631349 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910817196603321 996 $a50 vetoes$93970093 997 $aUNINA