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Topic - Joy Wilson
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"I think it's safe to say national politics has had something to do with how states have proceeded with this," said Joy Wilson, health policy director for the NCSL. "If you're a Republican governor, it might be awkward for you to be acting counter to your national party's activity."
Ms. Wilson said exchanges should assist owners of small firms who are usually saddled by insurance plan decisions, while people covered by plans at midsized to large firms would not be affected by reforms related to the exchange.