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State Health Insurance Exchanges



The Patient Protection and Affordable Care Act requires states to implement health insurance exchanges by 2014. 

The majority of states have received establishment grants from the U.S. Department of Health and Human Services. But others, including a few receiving grants, are participating in lawsuits aimed at blocking the legislation.

Governing is tracking each state's implementation of bill, shown in the map below:


Related Content



  • California Health Exchange Options and Premiums Revealed
  • California's newly created health exchange announced the bottom line on its insurance policies and rates Thursday, bringing sharper focus to family impacts of next year's health care overhaul. Thirteen companies were selected to participate.









  • HHS Rebrands Health Exchanges as 'Marketplaces'
  • In an effort to raise public awareness about the ACA, health insurance exchanges -- websites similar to Expedia where people can purchase health coverage -- will now be called 'health insurance marketplaces.'


  • Republican Governors Ask Obama for More Time on Health Exchanges
  • Faced with the reality that the Affordable Care Act (ACA) will be fully implemented after President Barack Obama's reelection, Republican governors are asking for a sitdown with the White House to discuss state-level implementation -- and more time to plan their health exchanges.

  • Health Exchange Deadline Extended for States
  • Just days after President Barack Obama's reelection, the U.S. Department of Health and Human Services has extended the deadline for states to file their health insurance exchange plans.




  • Health Exchange Grants Would Be Cut Under Sequestration
  • Though they are a small sliver of the $1.2 trillion in automatic cuts that would take effect on Jan. 1, 2013, the health exchange establishment grants—which are expected to fund almost all state planning for the online insurance marketplaces through 2014—would be cut $66 million if Congress and the White House can't agree on a plan for avoiding sequestration.




  • House GOP Budget Proposes Defunding Health-Care Reform
  • U.S. House Republicans have followed through on their pledge to defund the Affordable Care Act, including the exchange establishment grant program that's funding state efforts to implement health insurance marketplaces.




  • Top CMS Official to Step Down in July
  • Steve Larsen, head of the Centers for Medicare and Medicaid (CMS) Center for Consumser Information and Insurance Oversight (CCIIO), an agency that has played a key role in overseeing the implementation of the Affordable Care Act (ACA), will resign from his position some time in July.




  • HHS Awards More State Health Exchange Establishment Grants to Six States
  • The U.S. Department of Health and Human Services (HHS) doled out another $181 million in health insurance exchange establishment grants Wednesday, bringing the total amount of money that the federal government has pumped into state efforts to craft the online marketplaces to more than $1 billion.






  • HHS Awards 10 States With Exchange Establishment Grants
  • The U.S. Department of Health and Human Services (HHS) awarded Wednesday nearly $230 million in establishment grants to 10 states to aid in their development of health insurance exchanges created by the Affordable Care Act.



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GOVERNING Data is your source for state and local government statistics and public records.


Feel free to use any data or visualizations in your own reports with attribution and a link to the source.


Contact: Mike Maciag, mmaciag@governing.com

Daily Digit

21

Number of states with pension systems that aren't "fiscally sound," according to investment research firm Morningstar, Inc.



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