“What happens when individual states don’t follow the federal government’s orders under ObamaCare? The federal government takes over. Today, Obama’s Health and Human Services department announced that the some part of the health insurance rate review programs in 10 states were not yet up to snuff—and federal officials could elbow past state authorities to conduct the rate reviews themselves.”

“Despite advice from most free-market analysis, some Republican governors are executing the Patient Protection and Affordable Care Act (PPACA) by establishing Health Benefits Exchanges. These governors dislike PPACA, but they believe that exchanges can be vehicles for more choice than the federal law anticipates.
But I think that the real news is how much difficulty states that want to implement PPACA as fast as possible are having. “

“Now, with 50 uncompetitive state markets and new federal regulations on what is or isn’t an acceptable insurance plan on top of existing state laws, there will actually be less room for price-cutting competition in health care. You can expect insurance costs to rise as a direct result.”

“The ACA presents New York policymakers with a unique opportunity to reform its individual and small-group insurance markets. However, creating an effective market-based exchange requires policymakers to recognize that simply imposing its current high-cost insurance arrangements on the exchange may lead to the collapse of the exchange over time. Instead, reforms should build on the lessons learned from state exchanges in Utah and Massachusetts, federal programs such as Medicare Part D, and private exchanges such as New York’s HealthPass.”

“It’s not often that states turn their back on money from Washington, but at least two states may say no thanks to federal grants to implement the new federal health-care law.
In February the federal Department of Health and Human Services selected seven states to get $240 million in demonstration grants this year to kick start the health-care plan. But Oklahoma Governor Mary Fallin announced last week that the Sooner State will decline $54.6 million from the feds to establish new insurance exchanges.”

“Contrary to federal government promises, ObamaCare will move Louisiana residents off their private insurance and further inflate Medicaid costs, as a new study shows.”

“Governor Rick Perry has reportedly prevented State Representative John Zerwas and other legislators from making a potentially fatal blunder in the fight against Obamacare. According to local media, the governor’s office has discouraged Rep. Zerwas from championing legislation establishing a state-based Obamacare Health Benefits Exchange in Texas.”

“Historically, the more governments have become involved in health care decisions, two things happen. First, health care costs rise, and, second, access to health care services declines. I believe ObamaCare is clearly causing health care costs to rise and ultimately will reduce access to health care services.”

“Why would the president endorse an effort that would seemingly undermine his signature law? Because the provision would actually hasten the country’s progress toward the president’s ultimate goal: a single-payer health care system.”

“Already facing a challenging budget picture, Texas received more bad budgetary news with the release of the Texas Public Policy Foundation’s study Final Notice: Medicaid Crisis, A Forecast of Texas’ Medicaid Expenditures Growth.
The study by Jagadeesh Gokhale, a senior fellow at the Cato Institute, warns President Obama’s Patient Protection and Affordable Care Act (PPACA) will vastly increase the amount of money states have to spend on their Medicaid budgets.”