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From what I understand about the legislation, no state is under any obligation to administer an exchange. It's opt-in just like Medicaid.
What the states are fighting is the new regulations that make getting on Medicaid 133% of FPL that will cause the states a great deal of financial harm.
States are also obviously worried that if the mandate becomes "enforceable" - their citizens will be spending more money on health insurance which means less money spent on shopping and services in their state.
What the states are fighting is the new regulations that make getting on Medicaid 133% of FPL that will cause the states a great deal of financial harm.
States are also obviously worried that if the mandate becomes "enforceable" - their citizens will be spending more money on health insurance which means less money spent on shopping and services in their state.
