This is an excellent video on the health care exchanges and how they work. (Scroll about halfway down the page.) The Governor has signed PA onto the exchanges before Obamacare was ruled on by the Supreme Court. In light of this, what will the Governor do now? He will probably take the money and implement Obamacare. The federal government is not going to issue a ‘refund’. He was against the mandate in Obamacare as Attorney General, now he has signed Pennsylvania up to receive federal dollars to implement Obamacare.