Participating states must set up a call center as well as a Web site that allows people to easily find and understand health plans, in much the way that Orbitz and Travelocity help people find airline flights.
Moreover, many Republican-led states resisted the exchanges in the hope that the Supreme Court would strike the health law down this summer, or that Republican presidential candidate Mitt Romney would win the November election and repeal the law next year.
“We thought states would sit down and weigh the pros and cons of taking on this responsibility,” said Alan Weil, executive director of the National Academy of State Health Policy. Instead, “states are looking at this much more from a partisan lens and less through a strategic analysis of running an exchange.”
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