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March 26, 2012
Paid for by the Republican National Committee.310 First Street SE - Washington, D.C. 20003 - (202) 863-8500 - www.gop.comNot a
uthorized by any candidate or candidate’s committee.
 
#ObamaCare: No Cause ForCelebration
 See How The Massive, Deeply Unpopular ObamaCare Law Is HarmingEvery State In America
_____________________________________________________________________
 ALABAMA
ObamaCare Could Cost Alabama “An Additional $60 Million To $100 Million A Year.”
 
“Gov. Bob
Riley said the federal health care plan passed by Congress and signed by President Barack Obama couldcost the state an additional $60 million to $100 million a year -- money taken from an already cash-strapped General
Fund.”
(Sebastian Kitchen, “Riley: Cost Of National Health Care Plan Too High For Alabama,”
The Montgomery Advertiser 
,3/25/10)
 ALASKA
ObamaCare To Cost The State Of Alaska $46 Million Before The End Of The Decade.
(Alaska Department of Health and Social Services, 
 8/3/10, p. 9)
 Already, “The [Medicaid] Cost Problem Is Huge For State Government.”
 
“The cost pro
blem is hugefor state government. Of the $7.5 billion paid annually in Alaska for medical services $2 billion is paid by
the state. Much of this is in the state’s roughly 50 percent share of Medicaid, the health program for
lower-income Alaskans, but also medical benefits for public employees and retirees. Medicaid, at about 
$800 million a year, is the largest state budget item aside from state funding for school districts.”
(Tim
Bradner, “Health Care Costs Are Biting Alaskans, Businesses Harder,” 
,2/19/12)
 
 ARIZONA
ObamaCare Rejected By A Majority At The Ballot Box 
 Arizona Voters Supported A Ballot Initiative That Rejected ObamaCare.
 
“Proposition 106 in Arizonagained 55 percent of the vote…”
(Sarah Kliff, “Arizona And Oklahoma Vote To Reject Insurance Mandate,”
Politico
, 11/3/10)
 State Employees Face Rising Premiums
 Arizona State Employees Told To Expect To See Their Health Insurance Costs Rise As Much As 37Percent.
“State and university employees with families can expect to see their monthly health
-insurance
 
RESEARCH BRIEFING REPUBLICAN NATIONAL COMMITTEE PAGE 2 OF 33
Paid for by the Republican National Committee.310 First Street SE - Washington, D.C. 20003 - (202) 863-8500 - www.gop.com
Not authorized by any candidate or candidate’s committee.
 
costs rise as much as 37 percent next year, depending on the type of plan they choose. Figures providedby the Arizona Department of Administration show that health plans for families and single adults withchildren will shoulder the most-expensive premium increases beginning Jan. 1, while individuals will pay
modest increases.”
(Kent Alltucker, “State Tells Employees Health Insurance Will Rocket,” 
,7/21/11)
 
ObamaCare Is Responsible For Increases.
Alan Ecker, Department of Administration
spokesman, said health reform ‘is responsible for all increases for employee premiums’ next year.”
 
(Kent Alltucker, “State Tells Employees Health Insurance Will Rocket,” 
,7/21/11)
 
 Arizona Forced To “Shift Costs To Employees.”
“He noted that federal health reform passed
after the Legislature approved funding for
next year’s state’s health plan, so with no money left in
the state coffers to cover the mandated changes to health insurance plans, the state opted to shift 
costs to employees.”
(Kent Alltucker, “State Tells Employees Health Insurance Will Rocket,
,7/21/11)
 
ObamaCare Squeezing
 Arizona’s
State Budget 
The Heritage Foundation Estimates From 2014 To 2020 ObamaCare Will Cost Arizona An Additional $544.5 Million.
(Edmund Haislmaier and Brian Blasé, “Obamacare: Impact On States,
 ARKANSAS
ObamaCare Squeezing Arkansas’ State Budget 
 
The Heritage Foundation Estimates From 2014 To 2020 ObamaCare’s Medicaid Expansion Will
Cost Arkansas An Additional $211 Million.
(Edmund Haislmaier And Brian Blasé, “ObamaCare: Impact On States,” 
ObamaCare Tanning Tax Slamming Arkansas Businesses
Tanning Bed Manufacturer JK North American-Sun Ergoline Announced Seven Layoffs And 36Employ
ees’ Hours Cut In Half In Response To The Tax.
“JK North American
-Sun Ergoline, based inJonesboro, laid off seven employees in March and put another 36 on half-time in anticipation of lowersales of tanning beds. The 150-employee company is the world's largest manufacturer of tanning bedsand has weathered the run-
up to the tax pretty well, said Jerry Deveney, executive director of sales.”
(Charlie Frago, “Jonesboro Tanning
-
Bed Maker Says Coming 10% Tax A Job Killer,” 
,3/27/10)
 Arkansas Tanning Bed Operators Began Leaving The Business Or Reducing Orders For Beds In Anticipation Of The Tanning Tax.
 
“In January, several sma
ll tanning-bed operators in central Arkansas
said they would reduce the number of beds they offered or get out of the business altogether.”
(Charlie Frago,
“Jonesboro Tanning
-
Bed Maker Says Coming 10% Tax A Job Killer,” 
,3/27/10)
CALIFORNIA
Californians Facing Rising Premiums
“In The Last Two Years Alone, The Proportion Of State Employers Offering Coverage To Workers
Fell
To 63 Percent From 73 Percent, The Survey Said.”
 
(Marc Lifsher, “Survey Shows California Health Care Costs Rising,Benefits Shrinking,” 
,1/4/12)
 
 
36 Percent Of California Employers
 Are “Very” Or “Somewhat” Likely To Raise Employee
Contributions For Health Insurance.
 
“Health insurance is expected to take even more money
out of workers' pockets this year. The survey indicated that 36% of California firms said they were
 
RESEARCH BRIEFING REPUBLICAN NATIONAL COMMITTEE PAGE 3 OF 33
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either ‘very’ or ‘somewhat’ likely to raise the amount that their staff paid in premiums in 2012.”
(Marc Lifsher, “Survey Shows California Health Care Costs Rising, Benefits Shrinking,” 
,1/4/12)
The Annual “California Employer Health Benefits Survey” Administered By The California Health
Care Foundation Found That Cumulative Premiums Increased By Nearly 20 Percent In 2011 AsCompared To Inflation.
 
(“California Employer Health Benefits Survey,” 
,12/11; “California Employer HealthBenefits Survey,” 
 
From 2010 To 2011, Californians Saw Their Monthly Family Coverage Premiums On AllPlans Increased From $1,200 to $1,310.
 
(“California Employer Health Benefits Survey,” 
12/11; “California Employer Health Benefits Survey,” 
 
 Annual Employer Premium Contributions For Single Coverage Increased $476 From $4,737To $5,213.
 
(“California Employer Health Benefits Survey,” 
2/11; “California Employer Health BenefitsSurvey,” 
 
 
 Annual Worker Premium Contributions For Family Coverage Increased $171 From $3,632In 2010 To $3,803 In 2011.
(“California Employer Health Benefits Survey,” 
1; “CaliforniaEmployer Health Benefits Survey,” 
 
 Annual Employer Premium Contributions For Family Coverage Increased $1,156 From$10,765 In 2010 To $11,921 In 2011.
(“California Employer Health Benefits Survey,” 
2/11; “California Employer Health Benefits Survey,” 
ObamaCare Squeezing California’s State Budget 
 
The He
ritage Foundation Estimates From 2014 To 2020 ObamaCare’s Medicaid Expansion Will
Cost California An Additional $3.52 Billion.
(Edmund Haislmaier And Brian Blasé, “ObamaCare: Impact On States,”
High-Risk Insurance Pool Failing In California
Obama Administration Report Finds That Health Care Costs For Pre-Existing Insurance Plan(PCIP) Participants Will More Than Double Initial Estimates.
Medical costs for enrollees in thehealth-
care law’s high
-risk insurance pools are expected to more than double initial predictions, the
Obama administration said Thursday in a report on the new program.”
(Sarah Kliff, “Per Person Cost Of Federal High
-Risk 
Medical Plan Doubles,” 
,2/24/12)
 
 
In California, The Program Has Cost “Thr
ee Times As Much Per Enrollee Than Previously
Estimated.”
“But California's PCIP has turned out to cost three times as much per enrollee than
previously estimated. The state's Managed Risk Medical Insurance Board, which administers theplan, initially figured it would have to pay $1,000 a month in claims per enrollee. New data showclaims cost $3,100 per member each month, meaning that the government will have to capCalifornia's enrollment at 6,800 unless more funds are made available. As of October, 5,290 people
are signed up in the state.”
 
(Arthur Delaney, “Health Care Reform Program Much Costlier Than Expected In California,” 
 
,11/29/11)
 
 
HHS Was Forced To Give California An Additional $118 Million To Boost Its Pre-ExistingCondition Insurance Plan.
“California will receive $118 million in federal funds to bolster its
2012 coverage of adults with pre-existing medical conditions. The state-run, federally funded Pre-Existing Condition Insurance Plan, or PCIP, was created last year to insure the uninsurable
those
 
who because of their medical conditions have been denied coverage by insurers or who have hadto pay prohibitive insuran
ce premiums to ensure they were covered.”
 
(Darrell Smith, “California’s Pre
-Existing
 
Health Condition Plan Getting New Funds,” 
,12/20/11)
 
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