Gov. Bob McDonnell has decided to let the federal government set up an insurance exchange in Virginia, rather than establish a state exchange. In doing so, he has joined nearly all other Republican governors in handing off the job to the feds.
Under the Affordable Care Act, every state must have an exchange — a sort of clearinghouse where consumers can shop for government-approved insurance plans. The law allows states to set up their own. The federal government will run an exchange in states that decline to do so.