ST. PAUL, Minn. (AP) — The Minnesota House passed a bill Monday establishing the state's health insurance exchange, the first step toward enactment of an online marketplace that aims to give more than a million Minnesotans a new place to purchase affordable health insurance.

Rep. Joe Atkins, the chief House sponsor, called the bill creating a health insurance exchange "the most significant health reform in 50 years" — since Medicare and Medicaid were created in 1965. The exchanges are a centerpiece of the federal health care overhaul.

Preliminary estimates are for the Minnesota-run exchange to offer coverage to 1.3 million people. Of those, about 300,000 currently lack health insurance.

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