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10 community health centers in Michigan will get $19.6 million in federal funds.

Those health centers are key primary care providers for uninsured and underinsured people in many communities.

The money is part of about $11 billion provided to community health clinics through the national health care reform law.

A debate over establishing an online Michigan exchange where people and businesses can comparison shop for health coverage have been pushed into next year.

Governor Rick Snyder has said he’d like to see a state-run exchange established soon to ensure Michigan does not get pushed onto a federal system set up under the new national health care law.

But he’s been getting pushback from some Republicans in the Legislature.

“My members do not like Obamacare and they see this as steps to the implementation of Obamacare," said State Rep. Chuck Moss (R-Birmingham). "And, given that it’s iffy in the courts and possibly going to be repudiated in the next election, why do we want to get on that train now?”

The U.S. Supreme Court is expected to rule on the legality of the Patient Protection and Affordable Care Act. Business groups have split on creating a state exchange. Governor Snyder says it’s a good idea even if the federal law is reversed.

Lindsey Smith / Michigan Radio

Gov. Rick Snyder wants people in Michigan to do more to promote their own health. He also outlined policies he’d like to see legislators pass to help lower health care costs and improve access.

Snyder says he wants Michigan to create a health care exchange: a place where individuals can compare health care insurance.

The new federal health care law mandates states create their own exchange, join a regional one or wait until the federal exchange is in place.

“Having the idea of having an exchange done right is a good idea and my view is Michigan should establish one. We shouldn’t wait and say the federal government is going tell us it’s their exchange.”

Snyder wants to reform the state’s health code, improve health care for veterans and children with autism. He also wants to reduce regulations on health care professionals.

A hospital emergency room entrance.
Steve Carmody / Michigan Radio

The federal health care law is scheduled to take effect in 2014.  Health care leaders in Washtenaw County say they are not ready. 

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