According to the non-profit called American Legislative Exchange Council, with the Massachusetts election having given Senate Republicans the filibuster power to stall the health care overall legislation proposed by the Obama administration, the conservative lawmakers in as many as 34 states have either proposed or filed amendments to their state constitutions, banning government health insurance mandates.

With the proposed amendments in place, people will get a state-based right for payment of medical bills from their own pocketbooks; thereby implying that there will be no penalties against those who repudiate health insurance.

Despite the fact that the legal effect of the proposed measures by the states are a questionable issue, largely because courts have typically held that federal laws trump state laws, most of the state proposals are targeted for the November ballot.

The measures clearly reflect that health insurance remains an unrelenting political issue for conservatives; as the burning topic has been a reason behind the imminent re-election that hundreds of federal and state lawmakers face.

Commenting on the current situation, Clint Bolick, the constitutional litigation director at Phoenix’s Goldwater Institute, said: “I think the alarm bell has been rung. These amendments are a way to manifest grassroots opposition” to federal health insurance mandates.

Bolick added: “While some of the pressure may be off, I think that this movement has legs.”