HHS published some draft rules for health exchanges this week -- they key word here being "draft".
HHS Secretary Kathleen Sebelius says she wants much more input from the public before making the regulations final. She also says the regs are meant to leave a lot up to states.
Will states step up to the plate and innovate? How much variation will there be? Will there be blue state exchanges that lay out clear roles for insurers, and red state exchanges that encourage more competition?
Will Massachusetts and Utah serve as good examples? Or will it be a big mishmash that's confusing for everyone? What pitfalls will there be?