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Obamacare Ruling May Have Just Killed State-Based Exchanges
The New York Times; subscription may be requiredLink to more items from this source
June 25, 2015
"Now, with the Supreme Court ensuring that every state's consumers will have equal access to federal subsidies, it is becoming clear that more of those states will revert to a federal system for enrolling people in health insurance.... As the law envisioned, state exchanges would provide an opportunity for state insurance regulators to oversee their markets, a role they have long performed. The state exchange system would also allow a greater degree of policy flexibility and control, so state officials could customize the marketplaces for local conditions. What few people grasped was the technical and logistical challenge of building a complex website and customer service operation from scratch."

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