There's nothing quite like a deadline to focus the mind. Even a deadline that's not quite real.
Friday was originally the day that states were supposed to not only tell the federal government whether they planned to run their own but also how they planned to do it.
Last week, however, the feds , so states would have to only say yay or nay by Friday on the issue of running their own exchanges. If they want to partner with the federal government, they can wait until as late as February to speak up.
And no matter what, if a state fails to act, the federal government will set up an exchange in that state for it.
Thursday night, shortly after this story was posted, that deadline got . Health and Human Services Secretary Kathleen Sebelius told states in a they could now wait until Dec. 14 to submit both their decision and their plans if they want to do an exchange themselves.
Still, flimsy or not, Friday's deadline prompted considerable activity this week from states that had been waiting to see what impact last week's election might have on the Affordable Care Act. (Answer: Full speed ahead.)
Thursday afternoon alone, three governors — South Carolina Republican Nikki Haley, Nebraska Republican Dave Heineman and outgoing North Carolina Democrat Bev Perdue — all announced their decisions. The Republicans said they would not be pursuing exchanges in their states; Perdue said North Carolina would very likely pursue the , a hybrid state-federal exchange.
Haley in a letter to Sebelius. "The law fails to give South Carolina any flexibility and decision-making authority that would enable us to truly construct the program in a manner that would offer the most meaningful benefit to our citizens," Haley wrote.
Nebraska's Heineman echoed those sentiments. "The reality is that the federal health care law is being totally dictated and totally controlled by the federal government," he said in .
Heineman also said that building the exchange would cost the state too much money, even though to offset those costs.
In Indiana, Gov.-elect Mike Pence, currently a Republican member of the U.S. House, to outgoing Gov. Mitch Daniels, also a Republican, urging that the state not establish its own exchange.
Some governors who previously said they would not participate are reaffirming those decisions, including . His spokeswoman told today that the state won't design its own exchange because there is "really no such thing as a 'state exchange.' "
But others appear to be changing their tune, most notably Rick Scott, Florida's Republican governor. After vowing to have no part of the health law, Scott earlier this week told he wants "to get to yes" and is ready to negotiate with federal officials.
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