If you meet someone who claims to know how health care reform is going to play out over the next year, hold on to your wallet. You're probably talking to a con artist. The advent of the Affordable Care Act means many states are scrambling to set up insurance exchanges, which are online marketplaces to shop for private insurance, while other states will rely on a federal exchange. This shuffle is taking place just as rules covering Medicaid eligibility are changing for millions of families, including about 92,000 in Wisconsin.