“There’s a pretty stark choice for states to make on health-insurance exchanges right now: They can decide to set one up. Or they can decide not to. Those, along with one choice where the state and feds divvy up the responsibilities, are the options on the table. That seems to be true everywhere — except Utah. There, Gov. Gary Herbert is trying to carve out a completely new option: Building a health insurance exchange that is near certainly out of compliance with the federal law, and seeing how the Obama administration responds.”

“While other Republican governors are starting to back away from their opposition to implementing a key part of President Obama’s health care law, Louisiana Gov. Bobby Jindal said Tuesday that he’s not reconsidering.”

“Immediately after the presidential election, and more than a week ahead of the Nov. 16 deadline, Missouri Gov. Jay Nixon, a Democrat, announced he had made up his mind. The state would not be setting up its own health insurance exchange. Next door in Kansas, Gov. Sam Brownback, a Republican, made a similar announcement.”

“The Obama administration said Thursday it will give states an extra month to decide whether they plan to implement the core piece of President Obama’s healthcare law. States were initially supposed to decide by Friday whether they would run their own insurance exchanges. But on the eve of that deadline, HHS told Republican governors they could have until Dec. 14 to make that call.”

“Another Republican governor on Tuesday formally refused to set up an insurance exchange under President Obama’s healthcare law. Alabama Gov. Robert Bentley said the state will not establish an exchange and also will not participate in the law’s Medicaid expansion.”

“President Obama has won reelection, and his administration has asked state officials to decide by Friday, November 16, whether their state will create one of Obamacare’s health-insurance ‘exchanges.’ States also have to decide whether to implement the law’s massive expansion of Medicaid. The correct answer to both questions remains a resounding no.”

“By the end of this week, states must decide whether they will build a health-insurance exchange or leave the task to the federal government. The question is, with as many as 17 states expected to leave it to the feds, can the Obama administration handle the workload.”

“Voters in Missouri approved a measure Tuesday that will hamper its governor’s ability to implement President Obama’s healthcare law. The law will prohibit the governor from creating an insurance exchange unless the move is authorized by the state legislature or by a ballot initiative. Given the makeup of the statehouse, the measure’s approval Tuesday all but ensures that Missouri will have a federally run exchange.”

“Measures in four states—Alabama, Florida, Montana and Wyoming—were on the ballot last night relating to ALEC’s model Freedom of Choice in Health Care Act. Preliminary results show the measures passed as constitutional amendments in Alabama (Amendment 6) and Wyoming (Amendment A), and as a referendum in Montana (LR 122). The Florida measure failed.”

“With the Presidential election one week away, it’s worth reviewing how Obamacare will impact the residents of key swing states. In Ohio, as elsewhere, Obamacare will drive up the cost of private health coverage, especially for those who buy insurance on their own. A non-partisan study found that, by 2017, individual premiums in Ohio will increase by as much as 85 percent. “