Health Care 'Exchanges' Cause Debate Among State Politicians
The issue of state-based health care exchanges has proved to be another point of contention among political leaders battling it out over health care reform.
Although some states have agreed to get a head start and launch exchanges by January of 2013, many Republican governors have said they will not comply unless they get more flexibility over Medicaid.
States can opt out, in which case the federal government will step in and run the exchange from those states.
The Congressional Budget Office estimates that 8 million people will use exchanges in 2014, increasing to 24 million by 2018.