While Gov. C.L. "Butch" Otter chooses to take advantage of a four-week extension before deciding whether to establish a state-run health insurance exchange, governors of Georgia, Ohio and Wisconsin announced Friday that they would join more than a dozen other states in not setting up a marketplace.
The exchanges—where Americans would be able to shop for health care insurance—are an integral tentpole of the Affordable Care Act. The ACA mandates that the exchanges be in place for shopping to begin in October 2013. By January 2014, the ACA will require most Americans to secure health insurance.
But The New York Times reports that an increasing number of Republican governors are choosing to leave it to the federal government to institute.
“Wisconsin taxpayers will not have meaningful control over the health care policies and services sold to Wisconsin residents," wrote Gov. Scott Walker of Wisconsin to U.S. Health and Human Services Secretary Kathleen Sebelius.
Sebelius extended Friday's deadline to Friday, Dec. 4, for governors to declare their intentions.
According to Avalere Health, a Washington, D.C.-based consulting company, "it appears that about 18 states would choose to run their own exchanges, while 10 to 12 would seek partnerships with the federal government, and 18 to 20 would have federal exchanges."