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I can't seem to find a reliable answer on this...

1) If a State doesn't set up an exchange and HHS does, can the State change their mind and create their own exchange say in 2016?

2) If a State does set up an exchange and realizes they can't handle the additional financial burden can they end the exchange and allow HHS to run it?

The reason I ask is two fold. First if States can constantly change their minds that could be very chaotic in a diverse political climate and in theory some States could flip every few years.

Second is, since nobody seems to comprehend how much this is going to cost or how complex it is going to be, a State might find out it's better to join after other States set up good examples or leave if they can't handle it.

Even the most liberal States might decide after awhile it's better to have the Feds run it than them...Conversely a more conservative state might decide it's better to run it themselves than to trust the Feds. Again, this could also flip based on who's running HHS.
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