Just 20 States Will Run Their Own Health Exchanges
Posted at noon on Nov. 8, 2012
The Hill reports that analysts expect just twenty states to establish entirely state-run health insurance exchanges by 2014, with thirteen states partnering with the federal government to run with their exchanges and the remaining states defaulting to a federally run exchange.
“In their choices, Republican governors face a balancing act — not going too far to embrace the law, which remains divisive with the public and anathema to conservatives, but also not skipping a chance to wrest authority from the federal government. In Missouri, voters passed a ballot measure Tuesday that prohibits Gov. Jay Nixon (D) from creating an insurance exchange unless the move is authorized by the state legislature or by a ballot initiative. The measure’s passage all but ensures that the federal government will run Missouri’s exchange.”
States must inform the Department of Health and Human Services whether they plan to establish an exchange by November 16 and have until January 1, 2013 to demonstrate that the exchanges will be open for business by 2014.