"[This November, five states voted on measures] to establish a formal state position, challenging or disagreeing with provisions in PPACA.... [R]esults were as follows: (1) Alabama: Constitutional amendment to 'Prohibit Mandatory Participation in any Health Care System' Passed with 59.0% Yes votes. (2) Florida: Constitutional amendment to 'prohibit laws or rules from compelling any person or employer to purchase, obtain, or otherwise provide for health care coverage.' Failed, with 48.5% Yes votes. (3) Missouri: State law change, 'Prohibiting a State-Based Health Benefit Exchange.' Passed with 61.8% Yes votes. (4) Montana: State law change to 'Prohibit Health Insurance Purchase Requirement.' Passed with 67.1% Yes votes. (5) Wyoming: Constitutional amendment titled 'Health Care Freedom.' Passed with 76.9% Yes votes."