WASHINGTON (AP) — Trying to show flexibility without slowing down President Barack Obama's health care law, the administration said Friday states can have more time to work out their roles in providing health care to millions of uninsured Americans.

In a letter to governors, Health and Human Services Secretary Kathleen Sebelius said she still wants to hear by the end of next week if states will be setting up health insurance markets under the law. But governors can now take another month, until mid-December, to submit detailed blueprints.

The new insurance exchanges will allow households and small businesses to buy a private health plan, and many will get help from the government to pay their premiums. Under the law, states that can't or won't set up exchanges will have theirs run by Washington.

But many governors and state lawmakers were on the fence, awaiting the outcome of the presidential election. And the lost time left them fewer options.

In a concession to procrastinators, Sebelius said states considering a partnership with the federal government to run their exchanges can now have until mid-February to make a decision and submit their blueprints.

The partnership option allows states to handle consumer relations and oversight of health plans, while the federal government does the heavy lifting, taking care of enrollment, and figuring out any taxpayer help that consumers may be entitled to.

Sebelius stressed, however, that she is not waiving any hard deadlines under the law.

"Consumers in all fifty states and the District of Columbia will have access to insurance through these new marketplaces on January 1, 2014, as scheduled, with no delays," she wrote. Open enrollment for exchange plans will start in about 11 months, Oct. 1, 2013.

A check by The Associated Press found 17 states and the District of Columbia on track to setting up their own exchanges, while 10 have decided not to do so.

The states on track include California, Colorado, Connecticut, Hawaii, Kentucky, Maryland, Massachusetts, Minnesota, Mississippi, Nevada, New York, Oregon, Rhode Island, Utah, Vermont, Washington, and West Virginia.

Not setting up exchanges are Alaska, Florida, Louisiana, Maine, New Hampshire, South Carolina, South Dakota, Texas, Virginia, and Wisconsin. Missouri and others are likely to join the list. The federal government could end up running the show in half or more of the states.

(4) comments

Yellow River Rat

Hard to understand why Wisconsin isn't on-board with health care. The United States is the ONLY country in the industrialized world that doesn't offer it's citizens some form of health care. I have found since I lost my group health care it is almost impossible to find an insurance company in Wisconsin that will even offer a plan. Lord knows how people with pre-existing conditions find health insurance. I welcome the Affordable Care Act.

You may welcom Obamacare but what about the employees of these companies who just anounced layoffs this week directly tied to Obamacare:

Smith & Nephew - 770 layoffs
Abbott Labs - 700 layoffs
Covidien - 595 layoffs
Kinetic Concepts - 427 layoffs
St. Jude Medical - 300 layoffs
Hill Rom - 200 layoffs

Just a small sampling with a quick Google.


I looked up your examples of layoffs. ALL OF THEM are phasing the layoffs in over an extended period of time (in some cases YEARS into the future). Once Obamacare goes into effect, in 2014, there will be 54 million new customers to provide services and products to. If states like Wisconsin weren't dragging their feet, we could get those customers into the doors of medical facilities now.

Truth Serum

Customers for what? Pushing paperwork? What does that produce?

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