In the aftermath of the U.S. Supreme Court ruling upholding the federal healthcare law, congressional Republicans generally expect Republican-led states to continue holding off implementation of the insurance exchanges required by the 2010 statute.
Some Republican governors had indicated they were waiting for the ruling before deciding whether to launch the insurance marketplaces required by the law. If states do not receive federal certification by the beginning of next year that they will have exchanges ready to launch by 2014, then the federal government will create an exchange in those states.
At least one federal official has indicated that up to 30 states could have been waiting for either the court ruling or the November election before deciding to proceed with an exchange. Among Republicans who believe states will continue to wait for the outcome of the November elections was Rep. Fred Upton (R-Mich.), chairman of the House Energy and Commerce Committee.
“I think they will be looking for what happens in the November elections, as well,” he said in an interview.