More than half of the state exchanges to be created under the 2010 U.S. health care overhaul are expected to be run by the federal government, offering insurers and consumers uniform criteria in at least those areas.

According to The Hill,  33 states "have chosen to either not implement a state exchange at all or engage in a hybrid system that leaves many of the problems up to the federal government, as is the case with Illinois, Delaware and North Carolina, or which remain undecided on whether to accept the responsibility for developing the exchange."

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