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By Tracy Clemons

St. Louis (KSDK) - Although the federal health care law was upheld by the U.S. Supreme Court, the issue isn't completely over in Missouri.

We decided to take a closer look at Proposition E. Next week's vote will decide if the state of Missouri can set up a health insurance exchange, without the approval of the legislature.

The Patient Protection and Affordable Care Act, best known as "Obamacare," requires states to have exchanges up and running by January 2014.

If Prop E is approved, the governor will be prohibited from setting up the exchange without approval from the people or the legislature.

If it's rejected, the Governor would have the authority to issue an executive order to start the process without legislative approval.

"Proposition E is not asking whether we would prefer a state-based exchange or a federal exchange. It's just asking whether the governor can set one up or the state can start working on one until the state legislature can make a decision," said health policy analyst Thomas McAuliffe.

There are strong opinions on both sides of the proposition.

"It has no practical application because we will have an exchange one way or the other if we vote for it or against it the federal government will create an exchange for us if we don't create one for ourselves," said Mary Clemons with Women's Voices Raised for Social Justice.

"That is definitely something people should vote for because it maintains their control over healthcare exchange through their elected representatives, again not through un-elected bureaucrats," said Carl Bearden, Executive Director for United for Missouri.

Don't forget to check out ourDecision 2012 page with all the information you need before you head to the polls.

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