Officials in many states defy or act warily on key provisions of the Patient Protection and Affordable Care Act as they wait for the U.S. Supreme Court and then for voters to deliver a verdict on whether the law will survive.
State officials, providers and insurers grumble that HHS is failing to answer important questions and appears to be waiting until after the election to issue regulations on key parts of the law, including health insurance exchanges and the “essential health benefits” that the law will require individual and small-group health plans to cover beginning in 2014.