States that set up health insurance exchanges could shut them down at any time, and plans sold through them could disappear as well.
Officials at the Centers for Medicaid & Medicare Services refer briefly to those possibilities in a paperwork review notice for efforts to set up the Patient Protection and Affordable Care Act exchange program.
CMS officials noted that PPACA includes a section that explains what to do if a state decides to shut down a state-based exchange program after 2014.
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