Read it again. He says he WILL "be a partner in crime"
No, the Feds could run an exchange at any time but THERE IS NO MONEY BUDGETED FOR FED EXCHANGES and they need the states to build their exchanges (to take the fall and get stuck with the medicaid tab).
Partner in crime = setting up a state exchange.
Also, many of the stipulations/penalties don’t kick in unless you have a state exchange.