The Supreme Court decision, expected this summer, or next November’s presidential election could determine whether central elements of the healthcare reform law are overturned or repealed. These decisions come late in the game for states, which must submit plans of action for health insurance exchanges by Jan. 1, 2013.
At the beginning of 2013, the Obama administration will determine whether each state is ready to run its own exchange or whether the federal government should step in with its own model.
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