ACA Magnifying Glass Six statesare in the process of shifting to state marketplaces in hopes ofachieving cost savings, improved customer experience and greatercontrol over health care plans. (Photo: Getty)

Just as a number of states that previously declined federalfunding to expand Medicaid have since reversed, some stategovernments are beginning to assume greater oversight of theirstate's health care marketplace.

When the Affordable Care Act was launched six years ago, stateshad a decision to make: Would they set up their own insurance marketplaces or would they leave thatto the federal government?

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