|RICARDO ALONSO-ZALDIVAR, Associated Press|
Friday was the original deadline for states to notify
As of Friday, 22 states plus
"Postelection it's really been `game on,'" said
Republican presidential candidate
"The president won the election...and
A check by The Associated Press found that 16 states plus
The exchanges will also help steer low-income, uninsured people into expanded
Another six states have indicated they want to partner with
Fifteen Republican-led states say they'll defer to the federal government to build and run their markets.
Finally, another 13 undecided states now have until
Obama's election victory guaranteed the survival of his health care law, which is eventually expected to provide coverage to more than 30 million people through the exchanges and expanded
"I don't like it; I would not vote for it; I think it needs to be repealed. But it is the law," said Mississippi Insurance Commissioner
Traditionally, states have regulated the private health insurance market.
But other Republican-led states say they don't have enough information to make a decision at this point and are clamoring for the Obama administration to release major regulations bottled up for months.
"States are struggling with many unanswered questions and are not able to make comprehensive far-reaching decisions prudently," Govs.
Some of their main concerns are hidden costs of operating the exchanges and the sheer bureaucratic complexity of the new system. The Obama administration has steadfastly maintained it will not postpone the
Although the public remains divided about the health care law, the idea of states running the new insurance markets is popular, especially with Republicans and political independents. A recent AP poll found that 63 percent of Americans would prefer states to run the exchanges, with 32 percent favoring federal control.
The breakdown among Republicans was 81 percent to 17 percent in favor of state control, while independents lined up 65-28 for states taking the lead. Democrats were almost evenly divided, with a slim majority favoring state control.
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