HHS approves healthcare exchanges in 3 states

Exchanges must be up and running by 2014, but many Republican governors have refused to implement their own marketplaces, hoping to strain the federal implementation and cause problems for a healthcare law they have consistently opposed.

The Affordable Care Act envisions each state setting up its own exchange but authorizes a federally run fallback in states that do not act on their own.

“States across the country are working to implement the health care law and build a marketplace that works for their residents,” HHS Secretary Kathleen SebeliusKathleen SebeliusMr. President, let markets help save Medicare IRS Tax Day glitch exposes antiquated tech infrastructure Trump administration's reforms could make welfare work again MORE said in a statement. “In ten months, consumers in all fifty states will have access to a new marketplace where they will be able to easily purchase quality health insurance plans.”