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Even though ObamaCare was thousands of pages of legislative text, tens of thousands more pages of regulations are required to be written to implement the new law. Much of that is at the discretion of Administration bureaucrats and state officials. “Congress has left some of the most difficult decisions about health care reform to state insurance commissioners — handing a group of relatively obscure officials enormous power over the implementation of the law and the success or failure of President Barack Obama’s signature legislative achievement.”

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