Administration May Give States Second Chance to Avoid Fully Federally Run Insurance Exchange

States that have not adopted their own insurance exchanges may get a second chance to avoid getting one run solely by the federal government.  Only 11 states have fully embraced the idea of taking federal money to set up their own state-run insurance exchange, a U.S. Department of Health and Human Services official said Tuesday. The exchange, a key part of Obama’s health care overhaul, is designed to help uninsured people buy coverage from a choice of plans with federal tax credits.  Montana is one of many states that have so far refused to pass a law authorizing a state-level insurance exchange, paid for by the federal government.