It's quite amazing to see the reaction to the health insurance/benefit exchanges that have been mandated by the health reform bill, to be created and maintained by each state to manage its uninsured population. There were seven states/coalitions that had received the early innovator grants, ranging from just above $6 million to Maryland, all the way in excess of $50 million to Oklahoma. Now that is some range of innovation, I must say. But I deviate. The point is that two of the top three grantees—Oklahoma and Kansas--have since returned the grants. And by the looks of the conversations we have been hearing in the corridors of power, there may be others who are contemplating a similar response. On the other hand, the second round of grants provided additional funding to the smallest grantee, Maryland, in excess of $20 million. That brings me to my original question.

What's going on?

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