The Obama administration has kick-started work on establishing Internet-based health insurance exchanges.

An estimated 24 million Americans will have access to health insurance by 2019. Most of them will receive subsidies to help them buy a health plan because they are not expected to earn much so as to bear the full cost.
Employers with fewer than 100 workers also will be able to use the exchanges, which will have to offer plans with a minimum level of coverage. No plans will be able to deny coverage to people with pre-existing conditions.
Obama administration officials have been racing to get states to set up exchanges because they are central to the coverage expansion envisioned by the new law. That effort has been embraced by some state leaders and resisted by others critical of the law.
The new grants went primarily to states with Democratic governors who moved quickly to implement the new law. They are:
California: $39.4 million Connecticut: $6.7 million District of Columbia: $8.2 million Illinois: $5.1 million Kentucky: $7.7 million Maryland: $27.2 million Minnesota: $4.2 million Mississippi: $20.1 million Missouri: $20.9 million Nevada: $4 million New York: $10.8 million North Carolina: $12.4 million Oregon: $9 million West Virginia: $9.7 million
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