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The Supreme Court ruling upholding subsidies on the federal health-insurance exchange may prompt state-run exchanges to forge regional networks or use the federal marketplace. Many of the dozen states operating exchanges under the Affordable Care Act are encountering financial strains, and could join the three dozen states already using the federal marketplace, HealthCare.gov. Some policy experts say it’s possible most of those states will eventually do just that, creating a largely national exchange program. (Armour, 6/26)

The Supreme Court upheld a key part of the Affordable Care Act on Thursday, enabling health insurance subsidies to all qualifying Americans. The ruling firmly establishes the legality of Obamacare, but quite a few states had already moved forward in creating their own insurance exchanges. ... Levitt says now that the health care law is here to stay, those states may want to think about letting Healthcare.gov take over. (Allington, 6/26)

Many people opposed to the ACA foresaw situations like [M.L.] Simone's leading to the law's eventual downfall. Anti-ACA pundits predicted people would enroll and never even make their first payments or would stop paying when they found the premiums unaffordable. But that is not what appears to be happening - either to Simone or to marketplace enrollees nationwide. (Calandra, 6/28)