Health Insurance Exchange Implementation: Statuses of the 50 States

As part of the Patient Protection and Affordable Care Act, each state is responsible for setting up its own health insurance exchange — which will act as an insurance marketplace for state consumers — but not every state is on the same level of progress.


The Kaiser Family Foundation released updated data, as of April 13, 2012, on the status of health insurance exchanges for every state. Data was compiled through a review of state legislation and other related documents, and the report includes the District of Columbia.

Established exchange

•    California
•    Colorado
•    Connecticut
•    District of Columbia
•    Hawaii
•    Maryland
•    Massachusetts
•    Nevada
•    New York
•    Oregon
•    Rhode Island
•    Utah
•    Vermont
•    Washington
•    West Virginia

Plans to establish (state has expressed intent to create an exchange and continues to plan the details)

•    Illinois
•    Mississippi
•    Virginia

Studying options (state is actively examining policy options to decide if and how an exchange should be established)

•    Alabama
•    Arizona
•    Delaware
•    Idaho
•    Indiana
•    Iowa
•    Kentucky
•    Maine
•    Michigan
•    Minnesota
•    Missouri
•    Montana
•    Nebraska
•    New Jersey
•    New Mexico
•    North Carolina
•    Pennsylvania
•    Tennessee
•    Wyoming

No significant activity (state is not engaged in planning for an exchange at this time)

•    Alaska
•    Florida
•    Georgia
•    Kansas
•    New Hampshire
•    North Dakota
•    Ohio
•    Oklahoma
•    South Carolina
•    South Dakota
•    Texas
•    Wisconsin

Decision not to create (state has announced it will not implement a state-run exchange and will instead have an exchange operated by the federal government or a state-federal partnership)

•    Arkansas
•    Louisiana

More Articles on Health Insurance Exchanges:

Minnesota Pushes Forward With Health Insurance Exchange

Maine Health Insurance Exchange in Limbo

New Jersey Legislature Passes Health Insurance Exchange Bill

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