The Country Music Awards took a turn for the political Wednesday night.

After an opening that dissed Miley Cyrus and praised Nashville darling Taylor Swift "for never once humping a teddybear or gyrating with Beetle Juice," hosts Carrie Underwood and Brad Paisley turned their attention to Obamacare.

In the clip above, Paisley, who made headlines last spring after releasing the song "Accidental Racist" with rapper LL Cool J, claims to injure his back while "twerking." Underwood recommends he seeks help with the Affordable Care Act, saying "I started signing up last Thursday and I'm almost done!"

What follows is a musical beat down ("Why is this taking so long?" "I'm gonna wind up with hemorrhoids, If I sit here 'til dawn") that had the audience cracking up.