Obamacare Pain for States

8/2/2019 Obamacare Pain for States

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March 26, 2012

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#ObamaCare: No Cause ForCelebration

See How The Massive, Deeply Unpopular ObamaCare Law Is HarmingEvery State In America

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ALABAMA

ObamaCare Could Cost Alabama An Additional $60 Million To $100 Million A Year. Gov. BobRiley 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, Summary Of Medicaid Requirements Included In PPACA, 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 bythe state. Much of this is in the states roughly 50 percent share of Medicaid, the health program forlower-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. (TimBradner, Health Care Costs Are Biting Alaskans, Businesses Harder, Alaska Journal , 2/19/12)

ARIZONAObamaCare 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
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RESEARCH BRIEFING REPUBLICAN NATIONAL COMMITTEE PAGE 2 O


Not authorized by any candidate or candidates 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 paymodest increases. (Kent Alltucker, State Tells Employees Health Insurance Will Rocket, The Arizona Republic , 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, The Arizona Republic , 7/21/11)

Arizona Forced To Shift Costs To Employees. He noted that federal health reform passedafter the Legislature approved funding for next years states health plan, so with no money left inthe 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, The Arizona Republic , 7/21/11)

ObamaCare Squeezing Arizonas State Budget

The Heritage Foundation Estimates From 2014 To 2020 ObamaCare Will Cost Arizona An Additional $544.5 Million. (Edmund Haislmaier and Brian Blas, Obamacare: Impact On States, www.heritage.org , 7/1/10)

ARKANSASObamaCare Squeezing Arkansas State Budget

The Heritage Foundation Estimates From 2014 To 2020 ObamaCares Medicaid Expansion WillCost Arkansas An Additional $211 Million. (Edmund Haislmaier And Brian Blas, ObamaCare: Impact On States, www.heritage.org7/1/10)

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, Arkansas Democrat-Gazette , 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 Arkansassaid 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, Arkansas Democrat-Gazette , 3/27/10)

CALIFORNIA

Californians Facing Rising Premiums

In The Last Two Years Alone, The Proportion Of State Employers Offering Coverage To WorkersFell To 63 Percent From 73 Percent, The Survey Said. (Marc Lifsher, Survey Shows California Health Care Costs Rising,Benefits Shrinking, Los Angeles Times , 1/4/12)

36 Percent Of California Employers Are Very Or Somewhat Likely To Raise EmployeeContributions For Health Insurance. Health insurance is expected to take even more moneyout of workers' pockets this year. The survey indicated that 36% of California firms said they were
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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, Los Angeles Times , 1/4/12)

The Annual California Employer Health Benefits Survey Administered By The California HealthCare Foundation Found That Cumulative Premiums Increased By Nearly 20 Percent In 2011 AsCompared To Inflation. (California Employer Health Benefits Survey, California Health Care Foundation , 12/11; California Employer HealthBenefits Survey, California Health Care Foundation , 12/10)

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, California Health Care Foundation , 12/11; California Employer Health Benefits Survey, California Health Care Foundation , 12/10)

Annual Employer Premium Contributions For Single Coverage Increased $476 From $4,737To $5,213. (California Employer Health Benefits Survey, California Health Care Foundation , 12/11; California Employer Health BenefitsSurvey, California Health Care Foundation , 12/10)

Annual Worker Premium Contributions For Family Coverage Increased $171 From $3,632In 2010 To $3,803 In 2011. (California Employer Health Benefits Survey, California Health Care Foundation , 12/1 1; CaliforniaEmployer Health Benefits Survey, California Health Care Foundation , 12/10)

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, California Health Care Foundation ,12/11; California Employer Health Benefits Survey, California Health Care Foundation , 12/10)

ObamaCare Squeezing Californias State Budget

The He ritage Foundation Estimates From 2014 To 2020 ObamaCares Medicaid Expansion WillCost California An Additional $3.52 Billion. (Edmund Haislmaier And Brian Blas, ObamaCare: Impact On States,www.heritage.org , 7/1/10)

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 laws high -risk insurance pools are expected to more than double initial predictions, theObama administration said Thursday in a report on the new program. (Sarah Kliff, Per Person Cost Of Federal High -Risk Medical Plan Doubles, The Washington Post , 2/24/12)

In California, The Program Has Cost Thr ee Times As Much Per Enrollee Than PreviouslyEstimated. But California's PCIP has turned out to cost three times as much per enrollee thanpreviously 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 peopleare signed up in the state. (Arthur Delaney, Health Care Reform Program Much Costlier Than Expected In California, HuffingtonPost , 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 its2012 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 thosewho 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, Californias Pre -ExistingHealth Condition Plan Getting New Funds, Sacramento Bee , 12/20/11)
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Whil e Nancy Pelosis District Gets Waivers

Of The 204 New Obamacare Waivers President Barack Obamas Administration Approved In April, 38 Are For Fancy Eateries, Hip Nightclubs And Decadent Hotels In House Minority LeaderNancy Pelosis Northern California District. (Matthew Boyle, Nearly 20 Percent Of New Obamacare Waivers Are Gourmet Restaurants, Nightclubs, Fancy Hotels In Nancy Pelosis District, The Daily Caller , 5/17/11)

COLORADOColoradans Facing Rising Premiums

In 2012, Colorado Will Receive An Average 9.4 Percent Health Insurance Premium Hike. The badnew s of Colorado's average 9.4 percent hikes in health insurance premiums for next year... (Michael Booth,Colorado's 9.4% Jump In Health Insurance Rates An Improvement Over Recent Years, The Denver Post , 10/28/11)

In 2011, Health Insurance Premiums In Colorado Increased By An Average Of 14.4 Percent. But it's a huge improvement from 14.4 percent hikes this year (Michael Booth, Colorado's 9.4% Jump InHealth Insurance Rates An Improvement Over Recent Years, The Denver Post , 10/28/11)

ObamaCare Squeezin g Colorados State Budget

The Heritage Foundation Estimates From 2014 To 2020 ObamaCare Will Cost Colorado An Additional $346.5 Million. (Edmund Haislmaier and Brian Blas, Obamacare: Impact On States, www.heritage.org , 7/1/10)

ObamaCare Delivering A Stunning Blow To Colorado Ski Resorts

ObamaCare Would Have Colorado Ski Resorts Facing A Stunning Blow Of Between $9 Million And $14 Million In Penalties Annua lly. The potential impact to Colorado Ski Country member areasis somewhere between $9 million and $14 million in penalties (per year), Steamboat Ski and Resort Corp. President Chris Diamond said Tuesday, citing a Colorado Ski Country USA estimate. It s a stunningblow to any large employer like ours that employs seasonal staff. (Mike Lawrence, Health Policy Raises Red Flags At Steamboat Ski Area, Steamboat Today , 3/24/10)

Impacting An Industry That Generates Thousands Of Jobs And Over $1.7 Billion ForColorado Annually. According to a recent Colorado Travel Year Report by LongwoodsInternational, travel spending by overnight visitors to Colorado in 2008 totaled $9.6 billion. Of that, $1.7 billion -- or 18% -- was related to skiing. Those dollars are not just generated on theslopes, but by the hotels, rental shops, restaurants and other businesses dependent on cold-weather vacationers. (Bruce Kennedy, Colorado Ski Industry Generates Higher Revenues, DailyFinance.com , 3/20/10)

Insurance Companies Fleeing The State

Six Insurance Companies In Colorado Have Stopped Carrying Individual Child Policies Due ToRising Costs. In the past two weeks, at least six major insurers announced they would no longer sellindividual child policies in Colorado, including Aetna, Cigna, Humana and Anthem. The dispute is part of the fallout from new consumer protections that took effect Thursday as a result of federal health carereform passed in March. One key provision says that if carriers offer policies to individual children often in the case of unemployed parents seeking coverage just for their kids then they must accept previously sick children as well as healthy ones. Carriers said they couldn't afford parents' waiting untiltheir children grew sick and then signing up for a policy . (Michael Booth, Colorado Issues Regulation Trying To Lure Back Carriers Of Children's Health Insurance, The Denver Post , 9/24/10)

Aetna To Halt Sales Of New Insurance In Colorado. Aetna will stop selling new health insurance to
http://dailycaller.com/2011/05/17/nearly-20-percent-of-new-obamacare-waivers-are-gourmet-restaurants-nightclubs-fancy-hotels-in-nancy-pelosi%E2%80%99s-district/#ixzz1Mce7y4K5http://dailycaller.com/2011/05/17/nearly-20-percent-of-new-obamacare-waivers-are-gourmet-restaurants-nightclubs-fancy-hotels-in-nancy-pelosi%E2%80%99s-district/#ixzz1Mce7y4K5http://dailycaller.com/2011/05/17/nearly-20-percent-of-new-obamacare-waivers-are-gourmet-restaurants-nightclubs-fancy-hotels-in-nancy-pelosi%E2%80%99s-district/#ixzz1Mce7y4K5http://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.steamboatpilot.com/news/2010/mar/24/health-policy-raises-red-flags-steamboat-ski-area/http://www.steamboatpilot.com/news/2010/mar/24/health-policy-raises-red-flags-steamboat-ski-area/http://www.steamboatpilot.com/news/2010/mar/24/health-policy-raises-red-flags-steamboat-ski-area/http://www.dailyfinance.com/story/company-news/rocky-mountain-high-for-colorado-ski-industry/19407177/http://www.dailyfinance.com/story/company-news/rocky-mountain-high-for-colorado-ski-industry/19407177/http://www.dailyfinance.com/story/company-news/rocky-mountain-high-for-colorado-ski-industry/19407177/http://www.denverpost.com/news/ci_16159598http://www.denverpost.com/news/ci_16159598http://www.denverpost.com/news/ci_16159598http://www.denverpost.com/news/ci_16159598http://www.dailyfinance.com/story/company-news/rocky-mountain-high-for-colorado-ski-industry/19407177/http://www.steamboatpilot.com/news/2010/mar/24/health-policy-raises-red-flags-steamboat-ski-area/http://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://dailycaller.com/2011/05/17/nearly-20-percent-of-new-obamacare-waivers-are-gourmet-restaurants-nightclubs-fancy-hotels-in-nancy-pelosi%E2%80%99s-district/#ixzz1Mce7y4K5


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small groups in Colorado and move companies that are existing clients off the plan in the next year,affecting 1,200 companies and 5,200 employees and their dependents. (Michael Booth, Aetna To Drop Small Groups InColorado, Denver Post , 9/29/10)

The Insurance Giants Decision Affects 1,200 Colorado Firms And 5,200 Insured People. (Michael Booth, Aetna To Drop Small Groups In Colorado, Denver Post , 9/29/10)

In Colorado, World Insurance Company/American Republic Insurance Company Announced It IsLeaving The Individual Market, Citing The Companys Inability To Comply With InsuranceRegul ations. (Grace Marie Turned, Op- Ed, Private Health Insurers Are Being Driven Out Of The Markets, Affecting Millions, Forbes , 1/17/12)

CONNECTICUT

Premiums For Individuals Policies Rising

Anthem Blue Cross And Blue Shield, Connecticuts Largest Health Insurer Said ObamaCare RaisedInsurance Rates From Between 5.5 Percent To 36.4 Percent On Individual Plans Last Year. Anthem Blue Cross and Blue Shield, Connecticuts largest health insurer In September, Connecticut regulators approved Anthems request to raise rates for its non -grandfathered individual plans, effective

Oct. 1, 2010. The Anthem filings show the new federal law raised rates from 5.5 percent to 36.4 percent,depending on the type of coverage. (The Truth About Health Insurance Premiums, FactCheck.org , 11/19/10)

ObamaCare Squeezing Connecticuts State Budget

The Heritage Foundation Estimates From 2014 To 2020 ObamaCares Medicaid Expansion WillCost Connecticut An Additional $148.8 Million. (Edmund Haislmaier And Brian Blas, ObamaCare: Impact On States,www.heritage.org , 7/1/10)

Hundreds Of Companies Faced With Tax Increases

ObamaCare Hit 121 Connecticut Medical Device Companies And 173 Connecticut PharmaceuticalCompanies With New Taxes And Fees. "The tax will affect 121 medical device manufacturers in

Connecticut, according to state Department of Economic & Community Development (DECD) ManagingEconomist Stan McMillen, who is preparing a report on the impact of health care reform on Connecticut companies. Beginning in 2011, McMillen says, Connecticut's 173 pharmaceutical firms will be amongthose nationwide paying an escalating annual fee, depending on their share of the market for businessthey do with the government. An annual fee also will be imposed on most health-insurance companiesbeginning in 2014, based on national market share, for at least the next decade." (Karen Singer, "ObamaCare: ThisMight Hurt," Connecticut Business News Journal , 5/10/10)

Connecticut Economist: "Everyone is going to feel some impact but these three industries havespecific levies or fees." (Karen Singer, "ObamaCare: This Might Hurt," Connecticut Business News Journal , 5/10/10)

Eric George, Connecticut Business & Industry Association: "[B]ut 2014 is really when we're

going to see the nuts and bolts... on the short end, we are expecting higher premiums and highertaxes." (Karen Singer, "ObamaCare: This Might Hurt," Connecticut Business News Journal , 5/10/10)

DELAWARE

The Herita ge Foundation Estimates From 2014 To 2020 ObamaCares Medicaid Expansion WillCost Delaware An Additional $46.6 Million. (Edmund Haislmaier And Brian Blas, ObamaCare: Impact On States,www.heritage.org , 7/1/10)
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FLORIDA

Floridians Facing Higher Health Care Costs

In 2012, Florida Is Expected To See An 8 Percent Increase In Employer-Sponsored HealthInsurance Costs. The cost for employer -sponsored health insurance in Florida is expected to increase 8percent next year (Liz Freeman, Study: Florida Workers Face 8 Percent Health Insurance Cost Hike Or Higher Deductible, Naples News ,11/21/11)

University Of North Florida Area Director For The Small Business Development Center SaysObamaCare Insurance Reforms Will "Drive Up Premiums." "Reform contains the immediate ending of several practices health care insurance companies used to hold down costs. The law includes arequirement to cover children through age 26, ending of the rejection of people who have pre-existingmedical conditions and the placement of caps on what policies pay out. 'One of the things all this will do isdrive up premiums,' Hagan said." (Kevin Turner, "Health Care Reform May Not Offer Enough To Small Businesses," The Florida Times-Union , 4/25/10)

ObamaCare Squeezing Floridas State Budget

In 2014, ObamaCare Will Cost Florida $142 Million. The costs of PPACA to Florida Medicaid will besignificant. Florida is expected to have over 379,000 new enrollees from the expanded PPACA Medicaidpopulation in 2014, at a cost of $1.5 billion (of which $142 million will be paid by the state), bringing thetotal cost of Medicaid that year to $25 billion. (SM 1854, Florida State Senate , 2/17/12)

By The End Of The Decade, ObamaCare Will Cost Florida $1 Billion Annually. By 2019, FloridaMedicaid will have 1.9 million additional enrollees, at an additional cost of over $7.7 billion (of which $1billion will be paid by the state). In subsequent years, the state share may increase. (SM 1854 , Florida State Senate ,2/17/12)

ObamaCare Impacting Florida Seniors

Non-Partisan CBO Director Says ObamaCare Gives Less Generous Benefit Packages To Medicare Advantage Recipients Forcing Seniors To Dig Deeper Into Their Wallets. A Medicare officialconcedes that seniors may have to dig deeper into their wallets next year thanks to the health care law.The new analysis obtained by POLITICO finds the health care overhaul will result in increased out-of-pocket costs for seniors on Medicare Advantage plans. Richard Foster, the actuary for the Centers forMedicare and Medicaid, al so tells Senate Republicans that the overhaul will result in less generousbenefit packages for Medicare Advantage plans next year. Foster is independent from the administrationand nonpartisan. (Jennifer Haberkorn, Medicare: Reform May Cost Seniors, Politico , 10/13/10)

Center For Nursing At The University Of Central Florida Survey Finds ObamaCare Contributing To An Expected Nursing Shortage Of 15,000 In Florida. A new survey shows Florida is expected to have15,000 vacancies for registered nurses during 2012. The state's Florida Center for Nursing at the

University of Central Florida issued a report on the survey Wednesday. An aging population and newreq uirements tied to the national health care overhaul are contributing to the shortage. (Fla. Expected To Have15,000 Nursing Vacancies, The Associated Press , 2/23/12)

The Center Is Projecting The Shortage Will Grow To More Than 56,000 By 2025. Whilesome recent nursing graduates have been unable to find work in isolated pockets, the statewidedemand far exceeds the supply of nurses. The center was created to collect and analyze data on
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nurse supply, demand and education in Florida. It is projecting the shortage will grow to morethan 56,000 by 2025. (Fla. Expected To Have 15,000 Nursing Vacancies, The Associated Press , 2/23/12)

Florida Businesses Slammed By Taxes, State Waiver Denial

Florida Software-Engineering Firm CEO Doesn't "See The Benefit" Of The Medical Device Tax AndSays "It Will Really Hurt Device Development." "Lee Krause, chief executive officer of Melbourne-based Audigence Inc., a software-engineering firm for hearing aid systems, said while the impact on thetax will not affect his company, as an entrepreneur in a medical field he sees where it might stifleinnovation and research. 'In general I don't see the benefit in creating this device tax and agree it willreally hurt device development,' Krause said." (Wayne T. Price, Tax A Concern In Medical Device Field, Florida Today , 4/7/10)

Tanning Salon Owner In Jacksonville, FL Says Fighting The Tax Is Like "David Vs. Goliath" BecauseTanning Is "Not An Extremely Lucrative Business." "Nermin Dedic, owner of Sol Us, which has sevensalons in Jacksonville, describes the tanning industry's battle against the lobbying efforts of other groupsas a David-versus-Goliath-type fight, in which tanning salon owners can't compete. 'It's not an extremelylucrative business,' he said. 'So we're not able to afford things like that where you have lobbyists inCongress so you can do things like plastic surgeons did in completely eliminating the Botox tax.'" (Justin Pugh,"Tanning Salons Look At How New Taxes Will Affect Business," The Florida Times-Union , 4/25/10) Another Florida Tanning Salon Owner Says Business Will Suffer. "Paul Abdullah, owner of FourSeasons Tan, which has two Southside locations and one in Atlantic Beach, said the tax will cause salonsto suffer more than they already have in a down economy. But tanning salons are 'not Walmart,' he said.'We can't reduce our prices and make more people come in and tan. He says the tax will hurt middle-classAmericans - predominantly younger, white women - who make up the majority of his clientele, he said."(Justin Pugh, "Tanning Salons Look At How New Taxes Will Affect Business," The Florida Times-Union , 4/25/10)

The Obama Administration Denied Floridas Request For A Waiver From ObamaCares Me dicalLoss Ratio Rule. The Obama administration on Thursday rejected Florida's request for a waiver fromDemocrats' healthcare law. Florida is the fifth state whose insurers have been denied an exemption from

the medical loss ratio provision that requires them to spend at least 80 percent of premiums on medicalcare or give rebates to consumers. Florida had asked for an MLR adjustment allowing insurers to meet lower thresholds of 68 percent in 2011, 72 percent in 2012 and 76 percent in 2013. (Julian Pec quet, ObamaAdministration Rejects Florida's Request For Health Law Waiver, The Hill , 12/15/11)

Waiver Denial Destroyed Businesses, Led To Layoffs Among Florida Insurance Agents. Naples insurance agent Mark Fiacable says a part of the federal health care act destroyed hisbusiness and caused him to lose his home. Joan Galletta, who works at a Jacksonville insuranceagency, says the same provision of the law led to staff cutbacks and a co-worker who left theindustry because revenue decreased. In Pompano Beach, insurance agent William Kohn says hecan't afford to hire an assistant, which is affecting the quality of service at his business. They allblame their losses on a portion of the federal health care law that mandates insurance companiesspend at least 80 percent of premium dollars from individual plans on medical costs. Companiesthat failed to meet the threshold in 2011 must issue rebates to customers this year. (Tia Mitchell,Florida Insurance Agents Protest 'Medical Loss Ratio' Provision In Health Care Law, Tampa Bay Times , 1/7/12)

Insurance Companies Dropping Policies For Children

Due To ObamaCare, UnitedHealthcare And Blue Cross Blue Shield Have Stopped Issuing NewPolicies That Cover Children Individually. Some major health insurance compa nies have stoppedissuing certain types of policies for children, an unintended consequence of President Barack Obama's
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health care overhaul law, state officials said Friday. Florida Insurance Commissioner Kevin McCarty saidin his state UnitedHealthcare and Blue Cross Blue Shield have stopped issuing new policies that coverchildren individually. (Ricardo Alonso- Zaldivar, Some Insurers Stop Writing New Coverage For Kids, The Associated Press , 7/23/10)

GEORGIA

ObamaCare Squeezing Georgia s State Budget

ObamaCare Will Cost Georgia $2.4 Billion In The Last Five Years Of The Decade. This expansionwould go into effect in 2013, with full federal financing in 2013 and 2014. After that, the federalgovernment would pay for 91 percent of the cost of the newly eligible population, leaving the state to payfor the remaining nine percent beginning in 2015. The Georgia Department of Community Healthrecently esti mated that Georgias share of this expansion would cost around $2.4 billion over the five -year period between 2015 and 2019. (Georgians For A Healthy Future , Accessed 3/21/12)

ObamaCare Harming Businesses, Costing Jobs

ObamaCare Causes Piedmont Healthcare To Cut 464 Jobs. Faced with a rising number of patientsand unknown impact of the new health care law, Piedmont Healthcare announced Thursday eveningplans to cut 464 jobs as part of an effort to save an estimated $68 million. (Misty Williams, Piedmont HealthcareCutting 5 Percent Of Workforce, The Atlanta Journal-Constitution , 6/9/11)

Shannah Lane, Owner Of Tan- Tastic Tanning: At First I Thought It Was A Joke, Because I Thought Surely Theyre Not Going To Impose Such A Double Digit, Large Tax On Lower And Middle ClassWomen. (Tanning Salons Upset Over 10 Percent Tax On Services, WSAV NBC [Savannah, GA], 3/29/10)

Insurance Companies Fleeing The State

Insurance Companies Are Leaving The State. State insurance officials reported that two othercompanies -- American Republic and World -- have notified the state that they will leave the individualmarket. (Car rie Teegardin, Feds Give Georgia Insurers More Time To Comply With Health Care Law, The Atlanta Journal-Constitution , 11/8/11)

IDAHO

A Conservative Estimate Places The Cost Of ObamaCare On Idaho At $228 Million By The End Of The Decade. The requirement to maintain eligibility is costly for Idaho. In a fact sheet attached to theletter, it is revealed that keeping the requirements of the PPACA in place until 2020 will cost the GemState an extra $228 million, though it is noted that the estimate might be on the conservative side. (DustinHurst, Otter, 32 Other Governors Ask For Leniency In Upkeep Of Medicaid Program, Idaho Reporter , 1/14/11)

ILLINOIS

Caterpillar Inc. Employees Facing Higher Premiums

Caterpillar Inc. Employees Will Face Increased Health Insurance Premiums As A Result Of HigherCosts Associated With The Health Care Reform Law Caterpillar Inc. employees will face increasedhealth insurance premiums as a result of higher costs associated with the health care reform law adoptedearlier this year. For some employees, premiums for family coverage will increase by $41 a month,beginning Jan. 1. Even employee-only coverage will increase $5 a month, said a memo to management and salaried personnel that went out Thursday. (Paul Gordon, Caterpillar Raising Health Care Premiums, Peoria State Journal , 10/28/10)
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ObamaCare Will Squeeze Illinois State Budget

Medicaid Expansion Will Cost Illinois Billions. But the study by Rand, a nonprof it research institutebased in California, indicates that Illinois will incur about $700 million in new Medicaid costs not coveredby the federal government in 2016. The cost to Illinois taxpayers would ramp up to $1.3 billion annuallyby 2020 and total $ 6.2 billion between now and 2020. (Dean Olsen, Health Care Expansion To Cost Illinois, Nonpartisan StudyFinds, The Northwest Herald , 9/4/11)

Obamacare Harming Illinois Companies, Killing Jobs

Abbot Laboratories Announced 1,900 Layoffs That Will Help The Abbott Park, Illinois -BasedCompany Cope With The U.S. Health- Care Law. Abbott Laboratories, maker of the rheumatoidarthritis drug Humira, said it will cut about 1,900 jobs as part of a restructuring of its pharmaceuticalbusiness. The cuts, amounting to 2 percent of the workforce, will help the Abbott Park, Illinois-basedcompany cope with the U.S. health-care law passed last year, Abbott said in a statement today. Thedrugmaker said it would take charges of about $295 million in the coming years to transfer product manufacturing to new locations, including about $165 million this year. (Alex Nussbaum, Abbott Labs Cuts 1,900 Jo bsAfter Health Overhaul Prompts Restructuring, Bloomberg , 1/26/11)

Caterpillar Inc. Said Obamas Bill Would Increase Their Costs By $100 Million In First Year, Place[Them] At A Disadvantage Versus [Their] Global Competitors. Caterpillar Inc. said the health -careoverhaul legislation being considered by the U.S. House would increase the companys health -care costsby mor e than $100 million in the first year alone. ... We can ill -afford cost increases that place us at adisadvantage versus our global competitors, said the letter signed by Gregory Folley, vice president andchief human resources officer of Caterpillar. W e are disappointed that efforts at reform have not addressed the cost concerns weve raised throughout the year. (Caterpillar: Health Care Bill Would Cost It $100M, Dow Jones Newswires , 3/19/10) Boeing Expected To Have A $150 Million Charge In First Quarter As A Result of ObamaCare. Boeingtoday announced that it expects to recognize an income tax charge of approximately $150 million as aresult of the recently enacted Patient Protection and Affordable Care Act, as modified by the Health Careand Education Reconciliation Act. ... The charge is expected to reduce net earnings by approximately $150million, or $0.20 per share, in the first quarter of 2010 as an increase to income tax expense and areduction to the deferred income tax asset. Cash impacts of this charge will be realized over many yearsbeginning in 2013. (Boeing To Recognize Charge Associated With Health Care Law, CNBC, 3/31/10)

Chicago-Based Exelon Corp. Expects $65 Million In Additional Costs Due To ObamaCare. ExelonCorp., the largest operator of nuclear plants in the United States, expects a non-cash charge of about $65million in the first quarter of 2010 due to the recently passed healthcare reform law. The reduced incometax deductions are also estimated to increase Exelons total annual income tax expense by about $10million to $15 million, the company said i n a filing with the U.S. Securities and Exchange Commission.(Exelon To Take $65M Hit From Healthcare Reform, Reuters , 4/1/10)

INDIANAIndiana Facing Rising Premiums

In 2011, Indiana Insurance Premiums Rose 8 Percent For Families, And 7 Percent For Individuals. An actuarial and employee benefits consultant says a survey shows Indiana health care benefits at work rose an average of 7 percent this year for single coverage and 8 percent for family coverage. The surveyby the firm Nyhart found the typical Hoosier is paying $105 per month for single coverage and $417 per
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month for family coverage. Indiana employers provide an average subsidy of $364 monthly for singlesand $915 for famil ies. (Actuary: Indiana Health Care Benefit Costs Rising, The Associated Press , 9/15/11)

In 2011, One In Five Indiana Employers Increased Employee Deductibles. It also foundnearly one in five employers increased their deductibles. (Actuary: Indiana Health Care Benefit Costs Rising, The Associated Press , 9/15/11)

In 2011, Mike Ripley, Vice President Of Health Care Policy At The Indiana Chamber Of Commerce,Said Anecdotally Small Businesses Expected To See Insurance Rate Hikes Of 7 To 15 Percent OnTop Of Standard Increases, While Large Businesses Are Seeing 3 To 5 Percent Increases. As manybusinesses are rolling out their employee health insurance policies for the upcoming year, the numberscoming anecdotally to [Mike] Ripley [Vice President of health care policy at the Indiana Chamber of Commerce] are brutal. In general, large companies with more than 100 workers are reporting 3 to 5percent hikes in health care costs on top of their normal increases. Small businesses with fewer than 100employees are hit worse, with 7 to 15 percen t jumps in addition to their traditional upticks. (Marilyn Odendahl,Small Businesses Grapple With Rising Health Care Costs, Indiana Economic Digest , 12/12/10)

Health Insurance Plans Could Be Up To 10 Times More Expensive Next Year For Some IndianaUniversity Employees. The School Says The Hikes Are Necessary Because Of Rising Premiums. (IUHealth Insurance Costs on The Rise, Inside Indiana Business , 10/17/11)

ObamaCare Squeezing Indiana s State Budget

ObamaCare Could Increase Indianas Health Spending By $3.6 Billion Dollars By 2020. Confrontedby severe budget crunches because of the recession, many governors are complaining that they cannot afford to meet current obligations to fund Medicaid, the state/federal health scheme for the poor nevermind the increased contributions that will come in under the law after 2014. [Mitch] Daniels, for example,claims that the new legislation will increase his states health spending by as much as $3.6 billion by2020, a lot for a state whose entire budget is only $13 billion a year. Other Republican governors aremaking similar cla ims. (The Appeal Of Repeal, The Economist , 6/24/10)

Exodus Of Insurance Companies Fleeing The State The Obama Administration Rejected Indianas Request Fo r A Waiver From ObamaCare. The U.S.Department of Health and Human Services has rejected Indianas bid for an exemption from federalhealth care overhaul rules that require insurers selling policies to individuals to essentially dedicate 80percent of the premiums they collect to medical care. In other words, business costs and profits cannot total more than 20 percent of the premiums the insurers collect, or else they must pay rebates topolicyholders the following year. (Ken Kusmer, Feds Reject Indiana Request For Health Care Waiver, Insurance Journal , 11/30/11)

The Indiana Department Of Insurance, Arguing The 80 Percent Rule Was DiscouragingInsurers From Selling Ind ividual Policies. The Indiana Department of Insurance, arguing the80 percent rule was discouraging insurers from selling individual policies, requested permissionto allow the companies to devote just 65 percent of premiums to medical care this year, about 69percent next year, 72 percent in 2013 and 76 percent in 2014. (Ken Kusmer, Feds Reject Indiana Request ForHealth Care Waiver, Insurance Journal , 11/30/11)

Exodus Of Insurance Companies Will Likely Result In Fewer Choices And Higher CostsFor Consumers. However, consumer advocates say the exodus of Aetna and other companieslikely will result in fewer choices and higher costs for consumers under health insuranceexchanges to be established in 2013 under the federal health care overhaul. (Aetna Latest Out Of Ind.
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Individual Market, The Associated Press , 8/3/11)

Navistar International Corp. Has Decided To Relocate And Shut Down Its Fort WayneOperations, Which Employs 1,400 People. Navistar International Corp. is relocating, but thatsnot a signal a slew of For Sale signs will sprout across Fort Wayne, housing officials say. Themaker of commercial and military trucks confirmed Wednesday it will cut ties to northeast Indiana by announcing it will consolidate some operations in Lisle, Ill., and the suburban Chicagoarea. The companys Fort Wayne workforce includes 1,400, many of them engineers. (Paul Wyche,Realtors Doubt Mass Exodus To Illinois, The Journal Gazette , 9/9/10)

Aetna And Cigna Corp. Have Recently Withdrawn From The Individual Health InsuranceMarket In Indiana. Hartford -based Aetna Inc. and Philadelphia-based Cigna Corp., which are thethird- and fifth-largest health insurers respectively, have announced their departure fromIndianas individual health insurance market. (J.K. Wall, Five Individual Insurers Leaving Indiana, Indianapolis Business Journal , 8/8/11)

The Exit Of These Insurance Companies In Indiana Leaves Over 20,000 Hoosiers Without Health Care Coverage. In addition, Illinois -based Pekin Insurance, Michigan-based AmericanCommunity Mutual Insurance Co. and New York-based Guardian Life Insurance Co. of Americaalso have decided to leave the individual market. The five companies covered more than 20,000Hoosiers, or about 10 percent of all those who have individual health insurance. (J.K. Wall, Five IndividualInsurers Leaving Indiana, Indianapolis Business Journal , 8/8/11)

IOWA

Iowans Facing Rising Premiums

In 2012, Iowas Largest Health Insurer Will Impose A 9.35 Percent Increase On IndividualPolicyholders Premiums Who Are Under The Age Of 65. The state has approved Wellmark BlueCross Blue Shields request for a 9.35 percent increase in individual health insurance premiums. Thedecision will mean rate increases of up to $45 per month beginning April 1 for 86,000 individual

Wellmark policyholders ages 65 and under. (Dave DeWitte, State Approves Wellmarks 9.35% Health Insurance Premium Hike,business380.com , 1/3/12)

ObamaCare Squeezing Iowas State Budget

The Heritage Foundat ion Estimates From 2014 To 2020 ObamaCares Medicaid Expansion WillCost Iowa An Additional $120 Million. (Edmund Haislmaier And Brian Blas, ObamaCare: Impact On States, www.heritage.org , 7/1/10)

ObamaCare Harming Iowa Businesses, Costing Jobs

Des Moines- Based American Enterprise Groups Decision To Stop Providing Individual InsuranceTo Iowans Cost 40 Jobs. Des Moines -based American Enterprise Group announced Thursday that it will

exit the individual major medical insurance market, making it the 13th company to pull out of someportion of Iowas health insurance business since June 2010. The move means 110 employees will losetheir jobs over the next three years 40 in Des Moines and 70 in Omaha. It also underscores thewidespread anxiety among insurance companies over the raft of regulation resulting from the health careoverhaul bill. Its a fairly predictable consequence of the regulation, said Michael Ab bott, the president and CEO of American Enterprise Group, the parent company of American Republic Insurance. Theregulatory environments getting really complicated. (Iowa Insurer Exits Some Individual Health Policies, Des Moines Register ,10/20/11)
http://link.sc.states.gop.com/?262-716-718-7658-14017http://link.sc.states.gop.com/?262-716-718-7658-14017http://link.sc.states.gop.com/?262-716-718-7658-14017http://www.journalgazette.net/article/20100909/BIZ/309099971http://www.journalgazette.net/article/20100909/BIZ/309099971http://www.journalgazette.net/article/20100909/BIZ/309099971http://www.journalgazette.net/article/20100909/BIZ/309099971http://www.ibj.com/five-individual-insurers-leaving-indiana/PARAMS/article/28791http://www.ibj.com/five-individual-insurers-leaving-indiana/PARAMS/article/28791http://www.ibj.com/five-individual-insurers-leaving-indiana/PARAMS/article/28791http://www.ibj.com/five-individual-insurers-leaving-indiana/PARAMS/article/28791http://www.ibj.com/five-individual-insurers-leaving-indiana/PARAMS/article/28791http://www.ibj.com/five-individual-insurers-leaving-indiana/PARAMS/article/28791http://www.ibj.com/five-individual-insurers-leaving-indiana/PARAMS/article/28791http://business380.com/2012/01/03/state-approves-wellmarks-9-35-health-insurance-premium-hike/http://business380.com/2012/01/03/state-approves-wellmarks-9-35-health-insurance-premium-hike/http://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://business380.com/2012/01/03/state-approves-wellmarks-9-35-health-insurance-premium-hike/http://www.ibj.com/five-individual-insurers-leaving-indiana/PARAMS/article/28791http://www.ibj.com/five-individual-insurers-leaving-indiana/PARAMS/article/28791http://www.ibj.com/five-individual-insurers-leaving-indiana/PARAMS/article/28791http://www.journalgazette.net/article/20100909/BIZ/309099971http://link.sc.states.gop.com/?262-716-718-7658-14017


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Iowas Largest Manufacturing Employer, John Deere, Lost $150 Million In 2010 Because Of ObamaCare. Deere & Company, Iowas largest manufacturing employer, said in a statement thismorning that the recently-passed health care legislation will cost the company $150 million after tax thisyear... Golden said Deere and other companies warned congress in a letter last December that theimposition of a tax on the prescription costs would force publicly-traded corporations like Deere topublicly account for the extra costs. Deere said the impact of the legislation had not been included in itsforecast for a profit of $1.3 billion for this year... (Dan Piller, Deere Says Health Care Bill Will Cost It $150 Million, The Des MoinesRegisters Green Fields Blog , 3/25/10) ObamaCare Will Cause Vermeer Corp. To Pay 15 To 20 Percent More For Health Care Costs.Federal health care legislatio n will cost Vermeer Corp. in Pella an extra 15 percent to 20 percent forhealth care, said Mary Andringa, the companys CEO. (Jennifer Jacobs and Adam Belz, President touts jobs, knocks cynicism, DesMoines Register , 6/28/11)

Craig Kinzer, President And General Manager Of Seaberg Industries: We Expect To See More Cost Increase Resulting From The New Health Care Requirements. We expect to see more c ost increaseresulting from the new health care requirements, he said. Kinzer would like to see the scope of mandatedcoverage reduced or see the federal government work with small business in bearing the burden. (Kurt Allemeier, Quad -City Area Business Leaders Offer Their Advice To President Barack Obama, Quad-City Times , 6/28/11)

Bettendorf, IA Mayor And Small Business Owner: ObamaCare Has Kept His Company From Hiring.Freemire said he could have added another employee at Results Integrated Marketing and FreemireEnterprises if not for the health care law. (Jennifer Jacobs and Adam Belz, President Touts Jobs, Knocks Cynicism, Des Moines Register , 6/28/11)

Insurance Companies Flee The State

At Least 13 Health Insurance Companies Have Stopped Providing Individual Insurance To Iowans.Des Moines -based American Enterprise Group announced Thursday that it will exit the individual majormedical insurance market, making it the 13th company to pull out of some portion of Iowas healthinsurance business since June 2010. (Iowa Insurer Exits Some Individual Health Policies, Des Moines Register , 10/20/11)

KANSAS

Kansans Facing Rising Premiums

This Year, Health Insurance Premiums For Kansans To Increase By Up To 9.9 Percent. Healthinsurance premiums for next year are still rising, but the rate of increase may be starting to slow,according to experts in the insurance field. Health insurance companies who have filed their 2012 rateswith the state are reporting between 0 and 9.9 percent increases, said Linda Sheppard, director of accident and health for the Kansas Insurance Commissioner's Office. (Health Insurance Costs Rising More Slowly, TheWichita Eagle , 11/6/11)

[The Kansas Insurance Commi ssioner] Recently Approved A 4% Increase By Mennonite Mutual Aid Association To Pay For The New Provisions In The Health Law. (Janet Adamy, Health Insurers Plan Hikes, TheWall Street Journal , 9/7/10)

ObamaCare Squeezing Kansass State Budget

The Heritage Foundation Estimates From 2014 To 2020 ObamaCares Medicaid Expansion WillCost Kansas An Additional $158.0 Million. (Edmund Haislmaier And Brian Blas, ObamaCare: Impact On States, www.heritage.org ,7/1/10)
http://blogs.desmoinesregister.com/dmr/index.php/2010/03/25/deere-says-health-care-bill-will-cost-it-150-million/http://blogs.desmoinesregister.com/dmr/index.php/2010/03/25/deere-says-health-care-bill-will-cost-it-150-million/http://blogs.desmoinesregister.com/dmr/index.php/2010/03/25/deere-says-health-care-bill-will-cost-it-150-million/http://blogs.desmoinesregister.com/dmr/index.php/2010/03/25/deere-says-health-care-bill-will-cost-it-150-million/http://blogs.desmoinesregister.com/dmr/index.php/2010/03/25/deere-says-health-care-bill-will-cost-it-150-million/http://caucuses.desmoinesregister.com/2011/06/28/president-touts-jobs-knocks-cynicism/http://caucuses.desmoinesregister.com/2011/06/28/president-touts-jobs-knocks-cynicism/http://caucuses.desmoinesregister.com/2011/06/28/president-touts-jobs-knocks-cynicism/http://caucuses.desmoinesregister.com/2011/06/28/president-touts-jobs-knocks-cynicism/http://caucuses.desmoinesregister.com/2011/06/28/president-touts-jobs-knocks-cynicism/http://www.qctimes.com/news/local/article_5bb62c18-a149-11e0-85e5-001cc4c03286.html#ixzz1Qfr3OXc2http://www.qctimes.com/news/local/article_5bb62c18-a149-11e0-85e5-001cc4c03286.html#ixzz1Qfr3OXc2http://www.qctimes.com/news/local/article_5bb62c18-a149-11e0-85e5-001cc4c03286.html#ixzz1Qfr3OXc2http://caucuses.desmoinesregister.com/2011/06/28/president-touts-jobs-knocks-cynicism/http://caucuses.desmoinesregister.com/2011/06/28/president-touts-jobs-knocks-cynicism/http://caucuses.desmoinesregister.com/2011/06/28/president-touts-jobs-knocks-cynicism/http://www.kansas.com/2011/11/06/2091849/health-insurance-costs-rising.htmlhttp://www.kansas.com/2011/11/06/2091849/health-insurance-costs-rising.htmlhttp://www.kansas.com/2011/11/06/2091849/health-insurance-costs-rising.htmlhttp://www.kansas.com/2011/11/06/2091849/health-insurance-costs-rising.htmlhttp://online.wsj.com/article/SB10001424052748703720004575478200948908976.htmlhttp://online.wsj.com/article/SB10001424052748703720004575478200948908976.htmlhttp://online.wsj.com/article/SB10001424052748703720004575478200948908976.htmlhttp://online.wsj.com/article/SB10001424052748703720004575478200948908976.htmlhttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://online.wsj.com/article/SB10001424052748703720004575478200948908976.htmlhttp://online.wsj.com/article/SB10001424052748703720004575478200948908976.htmlhttp://www.kansas.com/2011/11/06/2091849/health-insurance-costs-rising.htmlhttp://www.kansas.com/2011/11/06/2091849/health-insurance-costs-rising.htmlhttp://caucuses.desmoinesregister.com/2011/06/28/president-touts-jobs-knocks-cynicism/http://www.qctimes.com/news/local/article_5bb62c18-a149-11e0-85e5-001cc4c03286.html#ixzz1Qfr3OXc2http://caucuses.desmoinesregister.com/2011/06/28/president-touts-jobs-knocks-cynicism/http://caucuses.desmoinesregister.com/2011/06/28/president-touts-jobs-knocks-cynicism/http://blogs.desmoinesregister.com/dmr/index.php/2010/03/25/deere-says-health-care-bill-will-cost-it-150-million/http://blogs.desmoinesregister.com/dmr/index.php/2010/03/25/deere-says-health-care-bill-will-cost-it-150-million/


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KENTUCKY

Kentucky Facing Rising Premiums

Last Year, Louisville And Lexington Faced Insurance Premiums An Average Insurance PremiumIncrease Of Nearly 9 Percent. According to Hewitt Associates, which combines the Louisville andLexington markets in its local reports, annual health premiums in those markets will rise an average of 8.8 percent in 2011. (Steve Ivey , Health Reform, Aging Workers Keep Insurance Premiums Rising, Louisville Business First , 10/22/10)

ObamaCare Squeezing Kentucky s State Budget

Kentuckys Medicaid Crisis Will Only Worsen As Mandates In The Nations New Federal Health -Care Law Are Implemented. A new report by the Bluegrass Institute for Public Policy Solutionsindicates that without thorough reform, Kentuckys Medicaid crisis will only worsen as mandates in thenations new federal health -care law are implemented. (Joe Arnold, New Report: Kentucky Medicaid Crisis Will Only Gets Worse,WHAS 11, 6/27/11)

Kentuckys Medicaid Spending Will Increase By 70 Percent In The Next Eight Years. Thereport's author projects Kentucky spending 70 percent more on Medicaid out of the General Fundby 2020. (Joe Arnold, New Report: Kentucky Medicaid Crisis Will Only Gets Worse, WHAS 11, 6/27/11)

John Garen, Professor Of Economics At The University Of Kentucky: Medicaid spending has been aproblem for quite some time, brought on mostly by its expansive growth over the past 25 years, and thisproblem will intensify under PPACA. (Joe Arnold, New Report: Kentucky Medicaid Crisis Will Only Gets Worse, WHAS 11, 6/27/11)

ObamaCare Will Hurt Kentucky Hospitals, Costing Over $1 Billion

Kentucky Hospitals Stand To Lose $1.2 Billion In Revenues In The Next Decade Due ToObamaCare. "The Kentucky Hospital Association said in a report on Monday that Kentucky hospitals willlose $1.2 billion in revenues in the next 10 years because of health care reform." ("Hospital Association Says State WillLose Under Health Care Reform," Lexington Herald-Leader , 7/19/10)

The 126 Hospitals In Kentucky Employ More Than 80,000 People And Paid $3.52 Billion InWages And Salaries In 2008. "Kentucky hospitals play a critical role in the economy of thecommonwealth. According to the report by the Kentucky Hospital Association, the 126 hospitals inthe commonwealth employ more than 80,000 people and paid $3.52 billion in wages and salariesin 2008. In smaller communities, the local hospital may be one of the largest employers." (Sen. JimBunning, "Kentucky Hospitals Will Be Hurt By Health Care Reform," Lexington Herald-Leader , 8/3/10)

LOUISIANA

The Heritage Foundation Estimates From 2014 To 2020 ObamaCares Medicaid Expa nsion WillCost Louisiana An Additional $389.5 Million. (Edmund Haislmaier And Brian Blas, ObamaCare: Impact On States,www.heritage.org , 7/1/10)

MAINE

Maine Small Business Owners Facing Rising Premiums

Average Increases For Small Businesses In Maine, For Example, Rose 17 Percent This Year, According To State Data. (Julie Appleby, Costs Of Employer Insurance Plans Surge In 2011, Kaiser Health News , 9/27/11)

ObamaCare Squeezing Maine s State Budget
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The Heritage Foundation Estimates From 2014 To 2020 ObamaCare Will Cost Maine An Additional$43.4 Million. (Edmund Haislmaier and Brian Blas, Obamacare: Impact On States, www.heritage.org , 7/1/10)

ObamaCare Killing Jobs

Maine Concrete Business Cut Back 100 Employees, Might Not Rehire More Than 25 In Response ToObamaCare. "Such penalties make Doug Newman, owner of Newman Concrete Services in Richmond,Maine, nervous. In the past 18 months, as the economy battered the construction industry, Newman'swork force shrunk from 125 employees to just 25. He is worried that once the economy turns and hebegins to hire back workers, he'll face a critical decision when he nears the 50-worker mark and is nolonger exempt from penalties. Newman now pays 60 percent of his employees' individual premiums and40 percent of their family premiums. 'The 51st employee could mean $100,000 in costs. I've been callingit the concrete ceiling,' he said. 'No employer is going to hire No. 51 if it brings all these mandates downon you, because they're pretty onerous.'" (Steve LeBlanc, "Small Businesses Fret Over Details Of Health Law," The Associated Press , 3/31/10)

MARYLAND

ObamaCare Sq ueezes Maryland s State Budget

The Heritage Foundation Estimates From 2014 To 2020 ObamaCares Medicaid Expansion WillCost Maine An Additional $43.4 Million. (Edmund Haislmaier And Brian Blas, ObamaCare: Impact On States, www.heritage.org , 7/1/10)

ObamaCare Harming Maryland Business

Bethesda, MD-Based USEC Inc. Took A $6.5 Million Charge Because Of ObamaCare. "USEC Inc. todayreported a net loss of $9.7 million or 9 cents per share for the quarter ended March 31, 2010, comparedto a net loss of $2.1 million or 2 cents per share for the first quarter of 2009. ... The income tax provisionin the three months ended March 31, 2010 was $5.4 million which included a one-time charge of $6.5million related to the change in tax treatment of Medicare Part D reimbursements as a result of the

Patient Protection and Affordable Care Act as modified by the Reconciliation Act of 2010 signed into lawat the end of March 2010." ("USEC Reports First Quarter 2010 Results," Press Release , 5/4/10)

MASSACHUSETTS

Medical Device Makers Moving Jobs Offshore In Response To ObamaCare Medical Device Tax

"The Medical Device Industry Is Huge In Massachusetts 225 Companies Employing About 50,000People." (Byron York, "Scott Brown: 'It's Me Against The Machine,'" The Washington Examiner , 1/14/10)

Days After Passage, A Massachusetts Medical Device Manufacturing Executive Warned The TaxWas "A Jobs Killer" That Would "Force" Jobs Overseas. "'This bill is a jobs killer,' said Ernie Whiton,

chief financial officer of Chelmsford's Zoll Medical Corp., which employs about 650 people inMassachusetts. Many of those employees work in Zoll's local manufacturing facility making heart defibrillators. 'We could be forced to (move) manufacturing overseas if we can't pass along these costs toour customers,' said Whiton." (Jay Fitzgerald, "Beware The 'Jobs Killer,'" The Boston Herald , 3/25/10)

Two Years Later, A Survey Of Massachusetts Medical Device Makers Show That Half WillSlash R&D And 25 Percent Will Outsource Manufacturing As A Result Of The Tax. A smallsurvey of Massachusetts medical device makers finds that jobs and research funding are likely
http://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.philly.com/philly/wires/ap/business/89581582.htmlhttp://www.philly.com/philly/wires/ap/business/89581582.htmlhttp://www.philly.com/philly/wires/ap/business/89581582.htmlhttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.heritage.org/Research/Reports/2010/07/Obamacare-Impact-on-Stateshttp://www.marketwatch.com/story/usec-reports-first-quarter-2010

Documents

Obamacare Pain for States