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Texas joins Missouri, Oklahoma and Georgia in historic health care compact

Patrick B. McGuigan Story by on August 1, 2011 . Click on author name to view all articles by this author. You can follow any responses to this entry through the RSS 2.0. Both comments and pings are currently closed.

By Patrick B. McGuigan
Senior Editor

Joining three other states, last week Texas became the fourth American state to sign the Health Care Compact into law. The signature of Gov. Rick Perry brings the Lone Star State into an alliance that already consists of Missouri, Oklahoma and Georgia.

In a statement sent to CapitolBeatOK, Gov. Perry said, “Texas faces unique challenges when it comes to health care delivery, and Washington’s one-size-fits-all approach doesn’t fit our needs.” He said the new law “provides state-based solutions to rising health care costs by providing millions in savings, rewarding innovation and improving the health care of Texans.”

Eric O’Keefe, founder of the Health Care Compact Alliance, described the compact as “an agreement between participating states that restores authority and responsibility for health care regulation to member states.” … The compact allows Texas to create its own health care policies by joining an interstate compact that supersedes prior federal law.”

O’Keefe’s colleague at the alliance, Vice Chairman Leo Linbeck III said, “The Texas Legislature has taken a big step toward addressing the fundamental problem with health care policy: a failed governance system.

“Rather than forcing Texans to comply with a one-size-fits-all system designed by federal politicians and Washington D.C. bureaucrats, the Health Care Compact will bring those decisions back to Texas. Americans want self-governance, especially in health care.”

In addition to the four states where it is now law, the health care compact has been introduced in another 11 states.
O’Keefe said Montana may be the best prospect to become the fifth compact state. Colorado, Arizona and Tennessee are also possibilities. The health care compact is under discussion in 36 states.

O’Keefe and alliance spokesmen emphasized that the compact is a tool for governance, not a prescription for policy: “The way health care works in a member state is not prescribed in the compact. Who and what is covered as well as the level of regulation are determined by each state after the compact is ratified.”
The compact is the major public policy initiative of the alliance, characterized in its literature as “a nonpartisan organization dedicated to providing Americans more influence over decisions that govern their health care.”

O’Keefe’s group has pressed for the Health Care Compact in an historical and constitutional context. As he has explained, “Interstate compacts have been used throughout U.S. history to allow states to coordinate in important policy areas. Authority for compacts was established in the Constitution (Article I, Section 10), and more than 200 such agreements are currently in effect. They are voluntary agreements between states that, when consented to by Congress, have the force of federal law.”

When she signed Oklahoma’s health compact bill this spring, Gov. Mary Fallin said, “Oklahoma is joining the Health Care Compact Alliance with the goal of gaining the flexibility to implement a program that meets our state’s specific health care needs without onerous unfunded mandates from Washington.”
www.CapitolBeatOK.com

When she signed Oklahoma’s health compact bill this spring, Gov. Mary Fallin said, “Oklahoma is joining the Health Care Compact Alliance with the goal of gaining the flexibility to implement a program that meets our state’s specific health care needs without onerous unfunded mandates from Washington.”
www.CapitolBeatOK.com

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