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First Substitute H.B. 391

Representative Jacob L. Anderegg proposes the following substitute bill:


             1     
NULLIFICATION OF THE PATIENT PROTECTION AND

             2     
AFFORDABLE CARE ACT

             3     
2013 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Jacob L. Anderegg

             6     
Senate Sponsor: ____________

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill amends the governor's programs related to the Health System Reform Act.
             11      Highlighted Provisions:
             12          This bill:
             13          .    prohibits the governor or the Department of Health from expanding Medicaid to the
             14      optional population under the Patient Protection and Affordable Care Act.
             15      Money Appropriated in this Bill:
             16          None
             17      Other Special Clauses:
             18          None
             19      Utah Code Sections Affected:
             20      ENACTS:
             21          63M-1-2508, Utah Code Annotated 1953
             22     
             23      Be it enacted by the Legislature of the state of Utah:
             24          Section 1. Section 63M-1-2508 is enacted to read:
             25          63M-1-2508. Nullification of optional expansion of Medicaid under federal health


             26      care reform.
             27          (1) The purpose of this section is to respond to the United States Supreme Court ruling
             28      in Nat'l Federation of Business v. Sebelius, Sec'y of Health and Human Services, 132 S.Ct.
             29      2566 (2012) which stated:
             30          (a) "In the typical case we look to the States to defend their prerogatives by adopting
             31      'the simple expedient of not yielding' to federal blandishments when they do not want to
             32      embrace the federal policies as their own. The States are separate and independent sovereigns.
             33      Sometimes they have to act like it...'; and
             34          (b) " . . . As for the Medicaid expansion, that portion of the Affordable Care Act
             35      violates the Constitution by threatening existing Medicaid funding. Congress has no authority
             36      to order the States to regulate according to its instructions. Congress may offer the States
             37      grants and require the States to comply with accompanying conditions, but the States must
             38      have a genuine choice whether to accept the offer. The States are given no such choice in this
             39      case: They must either accept a basic change in the nature of Medicaid, or risk losing all
             40      Medicaid funding. The remedy for that constitutional violation is to preclude the Federal
             41      Government from imposing such a sanction. . . .".
             42          (2) The Governor and the Department of Health shall not expand the state Medicaid
             43      program to the optional expansion population under the Patient Protection and Affordable Care
             44      Act, as permitted by the Supreme Court decision described in Subsection (1).


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