HHS has distributed hundreds of millions of dollars to various states to develop their health insurance exchanges. One of these, Oklahoma, just returned the $35M it received. It also returned $1M it received to review insurance rate increases.
In all seven states have passed legislation to create an exchange. For more details:
http://www.commonwealthfund.org/Content/Newsletters/Washington-Health-Policy-in-Review/2011/Apr/April-18-2011/In-the-States-Heat.aspx
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