BISMARCK, N.D. (AP) — North Dakota's dominant health insurer says it will work with the Legislature to craft a marketplace for patients to shop for insurance policies.

Blue Cross Blue Shield of North Dakota President and CEO Paul von Ebers says without such legislation, more North Dakota health care decisions will be made in Washington.

His comments came after the U.S. Supreme Court upheld most of President Barack Obama's health care overhaul, including the requirement that nearly all people have health insurance.

North Dakota is one of many states that haven't created state-run health exchanges, an idea in the law aimed at subsidizing coverage for the uninsured and making it more affordable for small businesses to cover workers.

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