When the Affordable Care Act was first enacted, it gave states the choice between participating in a federally run marketplace for individual insurance plans (Healthcare.gov), or creating their own state-based marketplace. In recent years, many states have opted to quit the federal exchange in favor of creating their own.
Now, however, the state of Georgia wants to quit its participation in Healthcare.gov, period. Governor Brian Kemp's revised Georgia Access Model would instead have consumers buy insurance directly from providers or utilize a web broker. The state would determine who is eligible to enroll in plans and receive subsidies.
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