Gov. Rick Perry might have rejected the opportunity to run a state health insurance exchange outlined in the federal healthcare law, but that doesn't mean state agencies won't work closely with Washington regulators to offer Texans a way to buy insurance. Texas Health and Human Services Commission officials are waiting to hear from the U.S. Department of Health and Human Services about many of the details on how to proceed ahead of the planned rollout of the exchange in 2014, Goodman said. The Texas Department of Insurance is also expected to play a role but was characteristically tight-lipped about its involvement with the federal government.