Missouri's federal-run health insurance exchange has no main office, local adviser group or state voice, and is in some ways invisible to the public even though it is to open in two months. Missouri law prohibits state and local government officials from cooperating in building the exchange. Private and community groups such as the Missouri Foundation for Health have plans to educate the public about the exchange. "People who have been shut out of the market for years will soon be able to get good insurance, cannot be denied because of pre-existing conditions and can get financial assistance to afford it," said Executive Director Jennifer Bersdale of Missouri Health Care for All, a group that has conducted education and outreach efforts.

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