Missouri state Sen. Scott Rupp, chairman of the state Senate Interim Committee on Health Insurance Exchanges, said the U.S. Supreme Court's review of the health care law, and the Senate's political makeup, means it's unlikely that the state will proceed with forming a health insurance exchange. "We're a sovereign state, and we will do things that we see best for Missourians, and if that doesn’t coincide with the federal government's timeline or wish list, then so be it," Rupp said.

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