Half of the 17 state-run insurance exchanges set up under President Barack Obama's health law are struggling financially, The Washington Post's Lena H. Sun and Niraj Chokshi report. The exchanges are facing financial distress because of "surging costs, especially for balky technology and expensive customer call centers — and tepid enrollment numbers." Federal funding for state-run exchanges has ended and exchanges now have to require their own costs of operation.
Some states are considering handing exchange functions over to the federal government but they are holding off until the U.S. Supreme Court rules by the end of June on whether the only way subsidies for health insurance can be provided to taxpayers is through coverage bought on state exchanges.
Lawyer and Legal Journalist
