|By Joseph A. Gambardello, The Philadelphia Inquirer|
|McClatchy-Tribune Information Services|
Friday was the deadline for states to decide.
States had a third option of operating an exchange in partnership with the federal government.
Seventeen states plus the
"My administration is committed to meeting our obligation to comply with the Affordable Care Act, but only in a manner that is the most effective and efficient for the residents of
Christie's decision was not unexpected. In December, using similar language and citing the uncertainty of costs, he vetoed legislation that would have established a state-based health-care exchange.
Christie's letter to Sebelius spelled out a number of steps
States can also adopt a state-run exchange later.
Senate Commerce Chairwoman
Under the health-care law, the exchanges will provide one-stop health-insurance shopping for individuals and small businesses.
They will help low-income individuals determine whether they will qualify for
According to the
(c)2013 The Philadelphia Inquirer
Visit The Philadelphia Inquirer at www.philly.com
Distributed by MCT Information Services