Only 15 states have told the federal government they plan to operate health insurance exchanges under President Barack Obama’s reform law, leaving Washington with the daunting task of creating online marketplaces for two-thirds of the country.
On the eve of a federal deadline for states to say whether they will run their own exchanges, a top health care policy official told lawmakers that the exchanges will start enrolling eligible families starting on Oct. 1.
It is a daunting task and it is doubtful he feds will be able to create the exchanges at all. The Administration has admitted it doesn’t have the money and and it will be unlikely to get funding through the GOP-controlled House. Furthermore, without state-run exchanges, the feds can’t subsidize private insurance companies. That by itself could cause Obamacare to collapse.
Nothing is over until the fat lady sings.