Time for states to decide on health care exchanges

FILE - This Jan. 9, 2012 file photo shows Idaho Gov. C.L. "Butch" Otter delivering his State of the State address inside the House chambers at the Idaho Statehouse in Boise, Idaho. At least 20 states have turned down the Obama administration’s invitation to run new health insurance markets that will be serving millions of uninsured Americans in less than a year. That means the Feds will step in and operate the programs, a defining challenge for President Barack Obama’s second term. Otter supports a state run health exchange. (AP/Photo Matt Cilley, File)Nineteen states have turned down the Obama administration's invitation to run the new health insurance markets that will begin serving millions of uninsured Americans less than a year from now. That puts a huge task on the feds, a defining challenge for President Barack Obama's second term.