After months of talking about health care reform, the U.S. House of Representatives introduced major legislation to overhaul the nation's health care system. House Democrats unveiled the 1,000-plus-page bill, called America's Affordable Health Choices Act of 2009, on July 14, and it includes most of President Barack Obama's key proposals on health reform.

One of Obama's promises was to create a national health insurance exchange. He envisioned people being able to one-stop shop for health insurance, with benefits and coverage spelled out in clear, standardized language.

The House bill creates the National Insurance Exchange under a Health Choices Administration, with a commissioner to run it named by the president. The Health Choices commissioner "establishes a process through which to obtain bids, negotiate and enter into contracts with qualified plans, and ensure that the different levels of benefits are offered with appropriate oversight and enforcement," according to a summary of the legislation from the House Ways and Means Committee.

We should be clear that there's a long way to go — maybe months — before the bill creating the exchange becomes law. It has to pass the House and get through the Senate, where many changes could be made.

Nevertheless, the bill marks significant, measurable progress on Obama's promise, and we rate it In the Works.