Republican-led Virginia made initial preparations for the federal health-care law but stopped there, hoping that either the U.S. Supreme Court or Mitt Romney would make the whole thing go away.
Since the court upheld the Affordable Care Act in June and the Republican presidential nominee lost Tuesday, Gov. Robert F. McDonnell has conceded that the overhaul seems to be here to stay.
“The federal health-care law, it looks like now, it will go into effect,” McDonnell told reporters at a post-election news conference. “The president is obviously behind it. The Senate is Democrat. There’s not going to be, at least at this point, . . . a complete repeal.”
In the near term, that means Virginia faces a deadline. By Nov. 16, the state must tell the federal government whether it intends to set up its own insurance exchange, use the federal one or come up with a hybrid system. The exchange is an online marketplace through which people can shop for health insurance provided by the law.








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