Gov. Butch Otter's health insurance exchange working group has voted overwhelmingly in favor of a state-based health insurance exchange, opting for the model of using a private non-profit group set up by the state to run it. The recommendation now goes to Otter, who must notify the federal government of which way the state will go by Nov. 16. If the state does nothing, it gets a federally run health insurance exchange and loses state regulatory control over its health insurance industry. Rep. Lynn Luker's substitute motion to hold off on any decision for a year was overwhelmingly rejected. Only two members, Luker and Wayne Hoffman, dissented in the panel's decision.