Nearly two years after President Obama signed the Patient Protection and Affordable Care Act into law, the department of Health and Human Services this week finally issued its guidelines regarding the now-infamous state exchanges.

Let's just set aside for now the troubling fact that the feds have already handed out cash to 33 states to help set them up – months before these actual guidelines dropped.

I'm still wading through the nearly 650-page set of rules, so it's a little early to offer much in the way of insight or critique, but I'm encouraged that the states appear to have a great deal of leeway in how these things will be set up and run. Even if the feds (once again) put the cart before the horse on this one.

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