In late May, the state of California said 13 health-care plans will participate in its exchange, offering insurance in the state's 19 regions, and insurers in several other states are proposing rates and plans.

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The states and the federal government also are creating a Health Insurance Marketplace for each state, where people can compare health plans based on price and benefits and purchase the one that best fits their needs.

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As part of the CRI, the CDC and state public health personnel assess local emergency-management plans, protocols and capabilities for 72 Metropolitan Statistical Areas and four non-MSA large cities.

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