Tennesseans may end up paying more for health care after Gov. Bill Haslam decided to forgo a state-run health insurance exchange, according to this article. "It has become apparent that the federal government is calling all of the shots and has important decisions still pending," Haslem wrote to HHS Secretary Kathleen Sebelius. However, a state-run exchange could help keep costs down, according to some advocates, and the full cost of creating an exchange won't be covered by HHS after 2014 if the state decides it does want to run its own, which Haslam indicated was possible.

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