In a Bloomberg commentary sizing up the U.S. Department of Health and Human Services' new rules for states' health-insurance exchanges under the reform law, Kansas Insurance Commissioner Sandy Praeger (in photo) applauded the flexibility states are allowed but had a few cautionary words for her state: "The ball is now in the states' hands. Those that want to create exchanges must move quickly to design and establish systems that will best meet their objectives. I hope Kansas will accept this challenge, because if the state doesn't, the federal government will." Praeger's office has been working on a Kansas health exchange, meant to be a marketplace for individuals and businesses looking for health insurance. But it will require new legislation, which anti-"Obamacare" GOP lawmakers such as House Health and Human Services Committee Chairwoman Brenda Landwehr, R-Wichita, are resisting. "I don't know how anything will get passed next year because I'm telling you, the temperature on this has not changed since the elections last November," Landwehr recently told the Kansas Health Institute News Service. "Not one bit."