Governors from Georgia, Oklahoma and Texas signed the interstate compact into law, while Gov. Jay Nixon of Missouri allowed the compact to become law without signing it, according to the report.
Proponents of the healthcare interstate compact hope to have 40 states put the compact on the 2012 legislative calendar, with an eye on the long-term goal of presenting the approach to Congress for full approval. The plan is similar to the way states would enter into interstate compacts for commerce, transportation and resource conservation and development.
The healthcare interstate compact was penned by Conservative drafters who believe, as the 10th amendment states, “the Constitution leaves to the states all powers not conferred upon the federal government.” The healthcare compact is part a larger push to bring control and power back to the state level and would expand to include compacts for banking, education and energy.
However, even conservative lawmakers have vetoed the compact based on several concerns, including disqualification of federal matches for Medicaid state spending. Other experts say the chances of the compact becoming law across the nation are slim, according to the report.
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