(Bloomberg) — Infrastructure for health insurance exchanges crafted by four Republican governors won conditional approval from federal government as states move toward full implementation of the Patient Protection and Affordable Care Act.

Idaho, New Mexico, Nevada and Utah are set to meet PPACA rules for marketplaces where residents can buy insurance, the Health and Human Services Department said in a statement last week. The agency also approved plans in Democratic-led California, Hawaii and Vermont, making a total 18 states plus the District of Columbia scheduled to run exchanges on Jan. 1, 2014.

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