“Arizona Governor Jan Brewer said on Wednesday she was rejecting a major provision of President Barack Obama’s healthcare reform law that calls for creating state-based health insurance markets where consumers can purchase private, federally subsidized coverage.”

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“The landmark health-care law, which survived the threats of repeal and a Supreme Court review, now confronts another hurdle: living up to expectations. As the administration spells out the details, many uninsured will be surprised at how much they will have to pay. It may involve ‘very substantial amounts,’ and ‘there still will be a significant number of people who can’t afford health coverage,’ said Ron Pollack, head of Families USA, a consumer group that backs the law.”

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“For the first time in 12 years, a majority say it is not the federal government’s responsibility to ensure that health care coverage is provided to all Americans, according to a poll on Wednesday.
Only 44 percent believe the government should guarantee health care coverage, and 54 percent believe it has no such responsibility, according to a Gallup survey.”

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“Dozens of lawsuits have been filed in protest of the Obama administration’s policy that most employers include no-cost coverage of FDA-approved prescription contraceptives in health plans. Churches and some — not all — religious organizations are exempt. But more than three dozen for-profit and nonprofit organizations have gone to court, citing religious objections to the birth control coverage rule, which itself is part of the women’s health provisions in the controversial health law.”

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“Delaying implementation until 2014 helped the president win re-election, but now the bill is coming due. The administration can’t forestall Obamacare’s massive regulatory impact any longer, and the result will keep Congress and the media occupied for months and years to come.”

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“There’s a pretty stark choice for states to make on health-insurance exchanges right now: They can decide to set one up. Or they can decide not to. Those, along with one choice where the state and feds divvy up the responsibilities, are the options on the table. That seems to be true everywhere — except Utah. There, Gov. Gary Herbert is trying to carve out a completely new option: Building a health insurance exchange that is near certainly out of compliance with the federal law, and seeing how the Obama administration responds.”

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“While other Republican governors are starting to back away from their opposition to implementing a key part of President Obama’s health care law, Louisiana Gov. Bobby Jindal said Tuesday that he’s not reconsidering.”

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“The House Ways and Means Committee has subpoenaed Health and Human Services Secretary Kathleen Sebelius, demanding that she reveal details of how the agency is promoting the health reform law, according to the committee.
The election may have iced efforts to repeal the law on the whole, but House Republicans are indicating they’re full speed ahead on intense oversight of how the Obama administration is enacting the legislation.”

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“Immediately after the presidential election, and more than a week ahead of the Nov. 16 deadline, Missouri Gov. Jay Nixon, a Democrat, announced he had made up his mind. The state would not be setting up its own health insurance exchange. Next door in Kansas, Gov. Sam Brownback, a Republican, made a similar announcement.”

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“The Obama administration said Thursday it will give states an extra month to decide whether they plan to implement the core piece of President Obama’s healthcare law. States were initially supposed to decide by Friday whether they would run their own insurance exchanges. But on the eve of that deadline, HHS told Republican governors they could have until Dec. 14 to make that call.”

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