Ohio Gov. John Kasich and Wisconsin Gov. Scott Walker have said they will not set up state-based insurance exchanges under the Patient Protection and Affordable Care Act, meaning the federal government will have to step in to run the exchanges in those states, according to The Hill's Healthwatch report.
Gov. Kasich said he rejected the state-based exchange because PPACA does not provide enough flexibility to states. Due to his rejection, the federal government will now have total control over all the functions of Ohio's exchange, such as the number of plans that can participate and whether to impose requirements above and beyond those spelled out in PPACA, according to the report.
Despite the threat of greater federal involvement, Republican governors are under pressure from conservatives to reject state-run exchanges, which is seen as a chance to marginalize the health reform law, according to the report.
With Gov. Kasich and Gov. Walker now on the record, only six more states have yet to say whether they will create their own exchanges.
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Gov. Kasich said he rejected the state-based exchange because PPACA does not provide enough flexibility to states. Due to his rejection, the federal government will now have total control over all the functions of Ohio's exchange, such as the number of plans that can participate and whether to impose requirements above and beyond those spelled out in PPACA, according to the report.
Despite the threat of greater federal involvement, Republican governors are under pressure from conservatives to reject state-run exchanges, which is seen as a chance to marginalize the health reform law, according to the report.
With Gov. Kasich and Gov. Walker now on the record, only six more states have yet to say whether they will create their own exchanges.
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