The Obama administration official overseeing the establishment of state health insurance exchanges left open the possibility Thursday that no states will establish such marketplaces by the 2014 statutory deadline.
Steve Larsen, deputy administrator and director of the Center for Consumer Information and Insurance Oversight at the CMS, described at a news briefing in Washington the various activities that some states have undertaken to establish their own exchanges—a central component of the Patient Protection and Affordable Care Act. However, even the states furthest along in the process have multiple complex steps left to undertake before the deadline.