When Coloradans head the polls in November, one of the issues they'll decide on is whether to opt out of the Affordable Care Act.

Amendment 69, called ColoradoCare, would become the first state to opt out of the ACA and replace it with a health care plan paid for by the payroll tax.

Under ColoradoCare, employers would have to pay a new tax of 6.6 percent increase and a 3.3 percent increase in employee's payroll tax.

On Tuesday morning, El Paso Board of County Commissioners unanimously voted on a resolution to oppose the amendment.

County Chair Sallie Clark, who owns a small business in Colorado Springs, says she worries how businesses will stay open if it passes.

"Whether you're an employee or an employer, it's going to affect you," said Clark. "I have a small business here and if it passes I'm not sure we're going to be able to keep the doors open if we're required to pay an additional 10 percent in payroll taxes."

Supports of the amendment say it will save Coloradans money and will cover everyone, regardless of their financial situation.

"We call it like Medicare for all you know thinking that everyone should have that kind of access, you shouldn't have to wait until you're 65 you know to take advantage of reasonable health care system," said Barbara Leavitt, Colorado Springs organizer of ColoradoCare.

Colorado Governor John Hickenlooper has already opposed the amendment.

Former Presidential candidate Bernie Sanders supports the measure and is expected to campaign for the initiative in Colorado over the next few months.