An Affordable Care Act provision mandating health insurance exchanges to be formed by each state by 2014 is creating a great deal of controversy and negativity.

The exchanges, a key component of the federal overhaul, are designed to add competition to the health insurance market by allowing individuals and small businesses to shop for better prices. The health insurance exchanges are scheduled to begin on July 1, 2014. At that time, the federal government will step in and create exchanges for them.

Much has been made of this requirement, with many states filing suit as to the constitutionality of the health exchange requirements.  What's interesting, however, is that the states have different interpretations of how these exchanges should operate and what they should cover.

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