States must decide by Friday if they will establish their own health insurance exchange or let the federal government run it. Gov. Haslam is waffling, according to this AP report. Haslam fails to mention that the state received more than $9 million in grants from the federal government to implement an exchange ($1 million for planning and $8,110,165 for implementation).
According to the AP article, Haslam also says "he is still awaiting details about the federal requirement for an exchange before determining his preferred path." The Dept. of Health and Human Services published a Request for Comments in the Federal Register on August 3, 2010. Initial Guidance to States on Exchanges was issued on November 18, 2010. A proposed rule for waivers was published in the Federal Register on March 14, 2011. Proposed rules for state exchanges were published July 15, 2011, and the deadline for comments was September 28, 2011. This info can be found at HealthCare.gov.
UPDATE: The most recent presentation from the state exchange task force (it's not clear exactly who's in charge of implementing the exchange) was March 13, 2012. Their recommendation was to "Continue to advocate for the overturning and/or repeal of the PPACA" and to delay implementation awaiting "clarity of 2012 events" (i.e. the election.)
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