Republican lawmakers in red states are in a pickle. The Affordable Care Act requires each state to set up a health care exchange designed to bring down insurance costs for consumers. Republicans want no part of anything related to Obama's health care reform law, which they see as a federal intrusion on states rights. But if state lawmakers don't set up an exchange, the federal government will. In September, Republican senators in Missouri prevented the state from accepting $21 million of federal money to lay the groundwork for an exchange. Next door, the Sunflower State is in a similar quandary, reports Bryan Thompson of Kansas Public Radio.