Deadline Approaches; CCHF Cites Costs as Reason to Decline

The new, extended deadline for states to declare their intentions with regard to a state health insurance exchange is December 14, by which time HHS has asked states to declare whether they intend to shoulder the responsibility of creating and operating an ACA health insurance exchange in their state. Costs are determined by a state’s population and the anticipated usage of the Exchange, with costs estimated to be between $15 million for very small states with low populations, to upwards of $300 million for heavily populated states like California. The costs are not only staggering, but could decimate the budgets and financial standing of states already struggling under a difficult economy. 

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