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Idaho Likely To Establish Health Insurance Exchange | Idaho is “at a crossroads,” Gov. Butch Otter (R) said on Monday. “If we do not apply for the grant, then under the Affordable Health Care Act, the federal government will come in and establish and impose upon us an insurance exchange.” State Republican leaders expressed similar concerns, insisting that “we should not be wasting any time” in applying for the funds and building a state-run marketplace. Otter, meanwhile, has been a proponent of the exchange and has previously claimed that Democrats “co-opted” his ideas and added them to the Affordable Care Act.

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