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 SebeliusSebelius on GOP healthcare plan: 'I'm not sure what the goal is here' Obama's health secretary to be first female president of American University Leaked email: Podesta pushed Tom Steyer for Obama’s Cabinet 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.”