It made little sense to me to invent the wheel 50 times throughout the country but to appease conservatives and lessen the concern about the federal government takeover of health care, the ACA gave the power to the states to create their own HIXs. But in a true irony, given how few states will be ready come 2014, the feds will have to step in and play a minor to major role in approximately 40 states or more come 2014.
http://www.politico.com/news/stories/0512/76596.html
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