'Your papers, please' must never be heard in America
Independent voices from the TWT Communities
The District of Columbia and Maryland are moving aggressively to implement virtual markets of insurance plans, becoming national leaders in carrying out President Obama's vision for health care reform, while their Republican neighbors in Virginia remain less than eager to implement the controversial law.
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.
"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."