State Health Insurance Exchange Status Map

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:

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Even though many expected most states to choose to create their own insurance marketplaces and the deadline to secure federal funding to do so nears, most states are passing over the issue in legislative sessions.

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In an effort to get the word out about their new health exchanges, Massachusetts and Colorado are making use of local sports teams.

A new federal report questions whether the insurance marketplaces will be ready in time for Oct. 1.

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.

In a move that other states are expected to follow, California is giving people who contact the state's new health exchange to buy insurance the opportunity to register to vote at the same time.

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Some states are defaulting to a federal-run insurance marketplace, but hoping to keep their regulatory authority.

Insurers will likely lobby states to transition from federal to state control, an idea that's already on some states' minds.

Some state officials think the upcoming deadlines for health exchanges are unrealistic. A few are even floating the idea of an extension.

States have until Feb. 15 to decide if they want to partner with the feds on their health exchange. Delaware is one state to already choose that route.

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.'

Federally-run health insurance exchanges as well as some some state-run exchanges will be paid for using insurance premium surcharges, not separate taxes.

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.

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.

Governors are making their health exchange plans known as the Nov. 16 deadline approaches.

Obama's reelection means implementation will continue, but much is left to the states.

Companies view the new state health exchanges as a viable alternative to employer-based support, according to a new report.

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.

States are anxious to use federal data for other human services programs, but the IRS has prohibited it.

As exchange planning winds down, states still have to figure out contracts and funding for these public outreach entities.

The U.S. Department of Health and Human Services (HHS) has finalized its guidelines for states to develop their health insurance exchanges created by the Affordable Care Act (ACA) and set a Nov. 16 deadline for states to submit their plans.

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.

Nine states asked for health exchange establishment grants during the latest round of applications, a U.S. Department of Health and Human Services (HHS) official told Governing.

Health-care executives and public officials say complexity and uncertainty reign as states continue to build online insurance marketplaces.

States will have 10 new opportunities to apply for federal funding to develop their health insurance exchanges outlined in the Affordable Care Act (ACA), the U.S. Department of Health and Human Services (HHS) announced Friday.

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Some state officials say they believe the health exchange funding would continue, but the Obama administration remains silent.

Some states opposed to the Affordable Care Act are still declining to move forward with its implementation, unmoved by new guidance for a federally-run insurance marketplace.

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.

New Jersey Gov. Chris Christie has vetoed a bill that would have created a state health insurance exchange, reports.

Like Rhode Island's Gov. Lincoln Chafee, New York Gov. Andrew Cuomo stepped in after legislation stalled in the statehouse.

This is the second in a series of articles about Rhode Island’s implementation of its health insurance exchange.

Do it your way, but get it done. That's what the Obama administration is telling the states when it comes to carrying out the new health overhaul law that will eventually cover most of America's 50 million uninsured people.

The state's quick progress reveals the challenges of creating exchanges.

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.

States are scrambling to set up their health insurance exchanges as the 2014 deadline looms.

The Obama administration has awarded more than $185 million in grants to 13 states and the District of Columbia to help establish new state-based health insurance marketplaces where consumers can shop for insurance starting in 2014. These Internet-based exchanges, designed to help Americans who don't receive health benefits through their employer, are intended to make buying health insurance akin to comparison shopping online for an airline ticket or a hotel room.

Some states are set to pick up the pace on establishing their insurance exchanges, while others could wait for the November election.

Natasha Buranasombati of the California State University Health Insurance Project poses with a tablet showing California's online health insurance marketplace. is a disaster. The state-level stories, however, are quite different.