BOISE (AP) — The House Health and Welfare Committee backed a state-based, nonprofit insurance exchange Thursday, conceding that it wasn’t a perfect solution, but it was better than merely accepting a version run from Washington, D.C.

The 10-1 vote sets the stage for long and spirited House debate; two weeks ago, the Senate debated for about six hours, before passing a similar measure.

Gov. C.L. “Butch” Otter backs this plan for a state-designed online marketplace for individuals and small businesses to buy insurance, arguing that it keeps Idaho in control and will be less expensive than a federal exchange.

Under President Obama’s 2010 health care overhaul, exchanges will be required starting Jan. 1.

Lawmakers on the panel agreed with the Republican governor, saying they believe defaulting to the federal version — as governments in about 25 GOP-led states have — will leave Idaho without a seat at the negotiating table.

“Idaho should be a leader,” said Rep. Christy Perry, R-Nampa.

 “Idaho is not giving into ideology here... I think Idaho is taking a stand and protecting its citizens rather than just handing everything over to the federal government.”

Critics counter Otter is knuckling under to demands of the federal government — and big insurers in Idaho who favor a state exchange.

Karen Calisterio, of the libertarian-leaning Republican Liberty Caucus of Idaho, said state-exchange backers were merely taking “a seat at the table of tyranny.”

Others offered lawmakers even more-dire warnings.

“Gov. Butch ‘Ottercare’ Otter is ordering the people of Idaho to accept fascism over freedom,” said Joseph Rohner III. “Those of you who vote for this bill will be, by your actions, forever branded as fascists.”

However, Peggy Munson, AARP Idaho state volunteer president, said her group has conducted recent telephone polling that suggests Idaho residents, regardless of political persuasion, favor a state-based exchange.

“Some say taking no action or delaying action is the best way to go,” Munson said. “These are not the choices we have. Like it or not, there’s going to be a health insurance exchange in Idaho.”

Though the Senate has already passed its own bill, this new measure includes several changes meant to boost legislative oversight — and remedy concerns important to the conservative, Republican-controlled House.

Among other things, it includes prohibitions on the exchange asking applicants questions about whether they use, own, possess or store guns or ammunition. It includes a 19-member, governor-appointed board of directors that gives three legislators — two from the majority party, one from the minority — a vote in decisions.

Yearly exchange audits would be required, the board must meet in public and comply with Idaho open records laws and any contracts must be awarded through a formal, competitive process.

The Senate must vote again on this new bill, but Otter — as well as Senate President Pro Tem Brent Hill, R-Rexburg — have signaled their support.

The exchange issue is so divisive in Idaho, not even religious-based groups agree on it.

Idaho has already forbid insurers from providing abortion insurance over the exchange, but anti-abortion activists say that’s not good enough.

Kerry Uhlenkott, a Right to Life of Idaho lobbyist, argued that the federal government would use a state exchange to force insurers to cover emergency contraceptives such as “ella” that she contends are potentially abortion-inducing drugs that can prevent a fertilized egg from attaching to the uterus.

Studies show that’s not the case, however. The U.S. Food and Drug Administration says ella prevents pregnancy and has no effect on women who are already pregnant.

Meanwhile, the Roman Catholic Diocese of Idaho backed the state exchange, saying Uhlenkott’s concerns were best addressed with lawmakers in Washington, D.C., not in Boise.

“We also know that we need to take action now on the state level to protect the life of all vulnerable populations in Idaho, especially those who currently do not have access to affordable and life-saving health care.,”  said Christine Tiddens, a Diocese representative.