States Decline to Set Up Exchanges For Insurance by Robert Pear and Abby Goodnough. The New York Times. November 16, 2012
Thus far 18 states plan to run their own exchange under the Affordable Care Act. 10 to 12 would operate some form of partnership with the federal government. 18 to 20 would have federal exchanges. Those who opted not to set up state exchanges cited federal rules that limit state control, the fiscal burden the exchanges will require, and lack of flexibility under federal rules Some states who have not decided will use additional time to seek more answers to their questions and obtain feedback from constituents. HHS Secretary Sebelius has extended the deadline for states to decide how to participate to December 14.
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