PA declines to set up state exchange Admin Wednesday, December 19, 2012 Pennsylvania becomes the twenty-second state to refuse to set up a health exchange under the new Obamacare regulations. What it means, like the implementation of the health coverage itself, seems unclear and not well thought through. © 2023 The Catholic Thing. All rights reserved. For reprint rights, write to: [email protected] The Catholic Thing is a forum for intelligent Catholic commentary. Opinions expressed by writers are solely their own.