"We believe that the exchanges are the solution to the small business insurance market and that's gotten us sideways with some conservatives," he said.
Massachusetts is one of two states that have state health insurance exchanges. Romney is largely tied to the healthcare law that gave birth to those exchanges and Leavitt, a former Utah Governor and former head of HHS under George W. Bush, benefited financially when his firm received a contract to build Utah's exchange program.
If Romney is elected in November he will likely work with Congress to repeal and replace the Obama health law with his own healthcare plan. On Romney's website there is a healthcare page that mentions his plan to "Ensure flexibility to help the uninsured, including public-private partnerships, exchanges, and subsidies."