By Ed Willing
Since the Supreme Court’s infamous 4-1-4 ruling on the Affordable Care Act in June, nearly two dozen states have grappled with whether or not to comply with the first of many forthcoming deadlines found in the rules written (and still being written) by the functionally unconstitutional entity known as the Department of Health and Human Services (DHHS).
November 16th is the deadline, and a flurry of letters are finding their way to Kathleen Sebelius’ desk this afternoon telling her they will not comply with the requirement to set up an exchange. The great debate has been over the enticement written into the law:
- Either states create the exchanges, and the Feds will not only pay for the administrative costs but also the cost increases of expanding Medicare and Medicaid, or…
- The Federal government will set one up for them and not give states the authority to direct their exchanges. Continue reading