Health Exchanges' Futures Remain in Doubt Despite New Grants

Physicians and other observers appear confident that most states that plan to start health insurance exchanges will meet a fall deadline to submit proposals to HHS. But even as the federal government continues to supply grant money and guidance to states to establish these marketplaces, questions linger in the physician community about their long-term sustainability.

On May 16, the Dept. of Health and Human Services granted new federal funds totaling more than $181 million to six states — Illinois, Nevada, Oregon, South Dakota, Tennessee and Washington — that plan to build state-run exchanges under the national health system reform law. The latest round of awards brings the total amount of exchange-related grants to states during the past two years to more than $1 billion.

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