Mississippi Insurance Commissioner Mike Chaney has received conditional federal approval to run an online marketplace where businesses with 50 or fewer employees will be able to buy health insurance, starting in January.
Chaney was in an interview with The Associated Press Tuesday when he received the notice from Health and Human Services Secretary Kathleen Sebelius.
The news came the same day that people were first able to buy individual coverage through online insurance marketplaces created under the federal health overhaul.
Mississippi's individual exchange is run by the federal government because the governor objected to a state-run exchange.
Many people will qualify for subsidies to reduce out-of-pocket expenses through the exchange.
Opponents of the overhaul say the federal government is grabbing too large a role in the health care system.