...by letting the Feds takeover their health insurance:
The statement outlining Kasich's decision includes a bold heading that says, "Ohio will not let the federal government take over any regulatory control of its insurance industry." But that's exactly what Kasich's decision does.
Although insurance will still be regulated primarily at the state level, the federal government will now have total control over all the functions of Ohio's exchange, such as the number of plans that can participate and whether to impose requirements above and beyond those spelled out in the law.
Despite the threat of greater federal involvement, GOP governors are under pressure from conservatives to reject state-run exchanges.