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State-run exchanges will help, especially as first step toward single-payer coverage for all
Modesto Bee

The Affordable Care Act of 2010 – widely known as Obamacare – requires states to set up exchanges where individuals and small businesses can purchase insurance. The purpose of the exchanges is to help implement the reforms. For example, most of the people who will purchase insurance in the exchanges will be eligible for some sort of tax-credit or subsidy to make their insurance more affordable.

Also, the insurance plans must be certified so that they meet the requirements of the ACA. The ACA also provides for an expansion of Medicaid to households earning up to 133 percent of the federal poverty line. The exchanges can help determine who is eligible for Medicaid or CHIP (the Children’s Health Insurance Program), or for subsidies to purchase insurance.