Utah Attorney General Mark Shurtleff is poised to join nine of his conservative colleagues across the nation in suing the federal government over health care reform.

"It smells rotten and indicates a corruption that we haven't seen before," Shurtleff's chief civil deputy, John Swallow, said Monday.

Swallow, a former congressional candidate, referred to Sen. Ben Nelson's vote that allowed the federal legislation to clear the Senate last week in exchange for special Medicaid breaks for the Democrat's home state of Nebraska.

"We're working hard to prevent what could become a culture of vote buying," Swallow said of the alliance he and Shurtleff recently formed with South Carolina Attorney General Henry McMasters and other Republican AGs who are framing the fight as a fierce battle over constitutionally guaranteed states 'rights.

A Utah legislator, Rep. Carl Wimmer, R-Herriman, said he backs Shurtleff's position. Wimmer is sponsoring a bill in the upcoming legislative session that would require Utah to opt out of any federally mandated health care reform.

"Health care reform should be conducted at the state level," Wimmer said, "and not be forced upon us by the people in Washington, D.C."

In May, Wimmer organized Utah's branch of the conservative Patrick Henry Caucus, which boasts close to 40 of the state's 104 lawmakers on its membership rolls.

Wimmer's organization voted unanimously last week


to support litigation against the federal reform measure.

"We would file an amicus brief as part of the lawsuit," Wimmer said. "This bill marks the first time in history that Congress would require every American to purchase a particular good or service."

Judi Hilman, executive director of the nonprofit Utah Health Policy Project, described the Nebraska deal as "an extreme version of what Congress does all the time with pork-barrel spending," but warned that federal health reforms should be postponed no longer.

"If part of the AG's point is that states are doing just fine reforming their health care systems, in Utah's case that would not be true," Hilman said. "Until they really look at issues of affordability and bringing people into the system, we have no leg to stand on in the case of states' rights."

Hilman argues that Utah has yet to get it right when it comes to health care reform.

"The premise of our state's reform process is to contain costs first and then capture the savings to cover the uninsured," Hilman said. "But all the research shows that the way to bend the cost curve is through coverage, not around it."

Legal scholars already have weighed in on federal health-care reform, Hilman added, and overwhelmingly have found it constitutional.

"The precedents they're pointing to," she said, "are Medicare and Medicaid."

Regarding Nebraska's arrangement, Hilman noted states already are treated unequally in terms of Medicaid reimbursement rates.

"I don't think the courts will go there," Hilman said, "even if the Ben Nelson deal sticks" through the upcoming negotiations to meld the Senate and House measures into one bill.

The individual insurance mandate will get enforced through the federal tax system, Hilman added, similar to how certain taxes already are regulated.

"They're grabbing at straws," Hilman said of the lawsuit proponents and their efforts to stonewall reforms.

"I can feel their pain," she said. "But it's pain we -- the feds, states and cost-containment experts -- need to learn how to manage together."