By January 2014, the states and the District must either establish their own health insurance exchanges under the Affordable Care Act (ACA), combine with other states to form a regional exchange or have the federal government set up an exchange for them.
The District has opted for the first option, and this month it moved ahead with a model unlike anything pursued by any state in the nation, with the exception of Vermont: On Oct. 3, the D.C. Health Exchange Authority?s executive board unanimously approved a plan that would abolish the marketplace as we know it for firms with 50 employees or fewer and force them to obtain health insurance for their workers from the government-run exchange. Companies and associations with 100 employees or fewer would have to do so by 2016.
Source: http://www.realclearpolitics.com/2012/10/14/obamacare_bad_news_for_small_business_293028.html
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