WASHINGTON (AP) — Republican governors who've balked at creating the health insurance exchanges included in the Patient Protection and Affordable Care Act of 2010 (PPACA) may end up getting stuck with the very thing they're trying to avoid.
Unless Mitt Romney wins in November, states that haven't set up the exchanges, or Web-based health insurance supermarkets, could find Washington calling the shots on some insurance issues the states traditionally manage, from handling consumer complaints to regulating plans that will serve many citizens.
Eventually more than 25 million people are expected to get coverage through exchanges, including many who were previously uninsured. As exchanges get more customers, competition among insurance plans could help keep costs in check.
But only 14 states and the Districut of Columbia have adopted plans for their own exchanges. The states that have adopted plans are California, Colorado, Connecticut, Hawaii, Maryland, Massachusetts, Nevada, New York, Oregon, Rhode Island, Utah, Vermont, Washington and West Virginia. Some could still backtrack.
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