Mississippi Insurance Commissioner Mike Chaney has the authority to establish and manage a health insurance exchange, according to a legal opinion released late Tuesday by the state attorney general's office.
Exchanges are online marketplaces where people can shop for insurance. Under the federal health law that President Barack Obama signed in 2010, every state is required to set up an exchange. States that don't create their own will have one run by Washington.
Gov. Phil Bryant and other Republican governors who oppose exchanges have said they fear the exchange will give the federal government a back-door way to force the expansion of Medicaid, which is also envisioned to be part of the federal health care law.
But Chaney, also a Republican, has said the danger of the federal government diverting people from the exchange to Medicaid will be greater if the state doesn't run the exchange.