On Wednesday, President Obama specifically spoke to directors of state-based insurance marketplaces for implementing his exclusive healthcare law. A video conference was held, recognizing their progress in setting up the health exchanges on their own. The President specifically observed 16 states and the District of Columbia acknowledging their determination and progress for deciding to set up the exchanges on their own—while others have the federal government do the work mandated by the ACA. Since these states have taken initiative, positive results are being seen. Premium proposals from insurers in these few states are lower than expected since they have decided to incorporate the law themselves. In the 34 states that have declined to set up their own exchanges, CMS will operate a health insurance exchange rather than a state-based exchange beginning in 2014.
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