Don't hold your breath waiting for anyone at Health and Human Services to call you back.

That's the moral of the story Kathy Kliebert, secretary of the Louisiana Department of Health and Hospitals, told at a House subcommittee hearing on state implementation of the Patient Protection and Affordable Care Act.

Getting a response from HHS can take three to four months, Kliebert said, which has run up implementation costs.

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Allison Bell

Allison Bell, ThinkAdvisor's insurance editor, previously was LifeHealthPro's health insurance editor. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached at [email protected] or on Twitter at @Think_Allison.