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SPRINGFIELD, Ill. (AP) - The Illinois Senate has approved a measure that would create a state-governed "insurance exchange" so individuals and small businesses can shop for health care coverage as required by President Obama's health law.

Lawmakers voted Thursday 37-19 to send the House a bill establishing the Illinois Health Insurance Marketplace.

The exchange will guide people through the purchase of health and dental plans. It will also help qualified businesses enroll employees in health insurance plans.

The Affordable Care Act requires that nearly all Americans have health insurance beginning in 2014 or pay a penalty. New marketplaces are scheduled to be operating by October.

Illinois will begin an exchange this year through a federal partnership. Gov. Pat Quinn hopes to establish a state-run marketplace for 2015.

WASHINGTON (AP) — Feeling pretty comfortable in retirement?

Here's something to think about: President Barack Obama's budget would raise Medicare premiums for individual retirees making more than $85,000 and couples making more than $170,000.

It would also freeze the indexing for inflation of those income thresholds, so eventually 1 in 4 retirees will have to pay more. Right now only about 1 in 20 pays the higher rate.

The higher premiums surprised a retired city worker from Albuquerque, Sheila Pugach.

She says she's paying about $500 a year more in premiums for Medicare outpatient and drug coverage, all because required withdrawals from her retirement savings bumped her into a higher income bracket.

Republicans like Obama's idea, so Pugach could soon have more company.