exchanges. a lot of states are behind the 8 ball as i understand. your republican rick scott, they are perhaps not as advanced in setting of these exchanges as other states might. it's my reading of the law if you do not set up these exchanges washington will do it for you. >> that's what we're going to make that decision, we are working with the senate president, the speaker of the house, and with governor scott. and i'm proud of governor scott for not taking money and getting wrapped up in something that we firmly still believe is unconstitutional. bill: the statute reads kathleen sebelius. the secretary of health and human services, shall, quote, establish and operate the exchanges for the states. >> isn't that frightening? federal government over reach at its best, it really is. bill: there is a line in here from "the new york times" article that the expansion of medicaid under the affordable care act could increase the state's tab to $1.1 billion by