Kansas Gov. Sam Brownback (R) is typical of those refusing to cooperate with Obamacare.
“Kansans feel Obamacare is an overreach by Washington and have rejected the state’s participation in this federal program,” Gov. Brownback said in a statement after this week’s election. “My administration will not partner with the federal government to create a state-federal partnership insurance exchange because we will not benefit from it and implementing it could cost Kansas taxpayers millions of dollars.”
On Friday, a group rallying at the statehouse in Topeka urged Brownback to accept the federal expansion of Medicaid, something he has yet to decide.
In Missouri, meanwhile, Gov. Jay Nixon (D) would prefer to have a state-run insurance exchange but is prevented from submitting a plan to the US Department of Health and Human Services by next week’s deadline unless he gets legislative approval. Missouri voters this week approved a ballot measure prohibiting the governor from establishing an exchange unless it is specifically authorized by the state legislature or public referendum.
"The only option for Missouri at this time is to indicate that we will be unable to proceed with a state-based exchange absent a change in circumstances," Gov. Nixon said at a news conference. But he added: "Let me be clear that a federally facilitated exchange is not the ideal approach. Regulating the insurance market is a power best left in the hands of the states."