On Tuesday, the people of Missouri voted on The Missouri Health Care Exchange Question. This is a legislatively-referred constitutional amendment offered to voters as a ballot measure.
A legislatively-referred constitutional amendment is a limited form of direct democracy, in this case a voter determined nullification.
The ballot summary reads as follows….
Shall Missouri Law be amended to prohibit the Governor or any state agency, from establishing or operating state-based health insurance exchanges unless authorized by a vote of the people or by the legislature?
The measure passed overwhelmingly and is now an amendment to the Missouri State Constitution.
61% – YES
38% – NO
Gov. Jay Nixon acknowledged Thursday that Missouri will not be able to set up an online marketplace for residents to shop for health insurance as envisioned under President Barack Obama’s health care plan.