Just speculating, but a few reasons a State might choose to run the exchange:
- they can ensure compliance with their existing insurance regulations
- they can include other public health care programs, such as Medicaid and children's health insurance programs
- State's rights
- they want to influence which insurance companies and products are offered in the exchange
The cost to set up and operate the exchange
- they can ensure compliance with their existing insurance regulations
- they can include other public health care programs, such as Medicaid and children's health insurance programs
- State's rights
- they want to influence which insurance companies and products are offered in the exchange
The cost to set up and operate the exchange