ATLANTA (AP) - Local and federal officials say they're working together to help Atlanta-area residents use new insurance exchanges under the 2010 federal health care overhaul.

U.S. Health and Human Services Secretary Kathleen Sebelius spoke Tuesday with Fulton County commissioners and medical providers about how to market new exchanges where consumers can shop for private individual policies beginning Oct. 1.

She promised the federally run exchanges will be launched without the participation of state government, which is run by Republicans who oppose the law.

Gov. Nathan Deal has also refused to expand the Medicaid insurance program for low-income Georgians.

Sebelius says she's pleased the exchanges will reach about 900,000 Georgians, but called it a tragedy that Deal's decision will leave about 650,000 more people without an opportunity for coverage.

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