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“Some of the federal healthcare law’s requirements related to insurance exchanges threaten the autonomy of U.S. states, which need more support in establishing the marketplaces, state governors said in a letter released on Thursday. ‘The decision to implement health insurance exchanges requires a number of complex policy decisions amid aggressive timelines,’ wrote the National Governors Association in a letter to U.S. Health Secretary Kathleen Sebelius dated Nov. 2.”

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