What states refuse to enforce Obama-care?

As of July 1st, 2012, immediately after the US Supreme Court declared the Affordable Care Act (also known as ObamaCare) Constitutional, no state has refused to enforce it. Frankly, no state can refuse to enforce it, as it now is settled law, and MUST be followed.

However, the ACA gives the states the ability to opt out of certain provisions and several choices in how to provide care in various areas. As of Jan 1st, 2014, all states have made preliminary decisions on how they will implement these provisions.

In addition, the Supreme Court declared the section of ACA requiring the states to expand Medicare coverage for the poor to be unConstitutional. States now have a choice as to whether they will forgo certain federal benefits should they chose not to implement the Medicaid-expanding options. Primarily, this is a decisions as to whether or not a state will extend Medicaid to cover those with an income between 101% and 133% of the Federal Poverty Level. Currently, the following states do NOT extend Medicaid for this group of people: Alaska, Montana, Idaho, Wyoming, South Dakota, Nebraska, Kansas, Oklahoma, Texas, Louisiana, Alabama, Mississippi, Florida, Georgia, Tennessee, South Carolina, North Carolina, Maine, Virginia, Indiana, Wisconsin.

Utah, Pennsylvania, New Hampshire, and Missouri are still studying whether or not to expand Medicaid, and will have to make a decision by March 1, 2014.

As the law is considerably complex, please see a healthcare insurance agent in your state for the exact details of how your state implements the ACA.