Roll Call: Latest News on Capitol Hill, Congress, Politics and Elections
April 16, 2014

Just 20 States Will Run Their Own Health Exchanges

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.

  • Tom_B

    Gee, they hate the Federal Government and then hand away State-level control of their exchanges? Did they pop another brain-fuse? It’s probably better for the citizens if the Fed’s do it anyway; State Gov’ts in Red States (and some Blue States) are not noted for competence.

    • Jeff

      You should read up on the topic…a) if fed sets up exchange, they pay for it (Obama’s budget) b) there is a legal question if the federal govt can even setup an exchange in a state, no state exchange = no obamacare if correct.

  • Blue Businessperson

    To believe that all but maybe the biggest States can create fiscally viable Exchanges is idiocy.

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