State Status on Health Insurance Marketplaces (as of 2013): 50 State Comparison
This map shows the status of the state action on the health insurance marketplaces or exchanges, established under the Patient Protection and Affordable Care Act. The map defines those states that are establishing their own exchanges as State-Based Marketplaces. State-Partnership Marketplaces are defined as states that are working with the federal government to set up the Marketplaces in their states, but retain plan management and consumer assistance functions. A majority of states have opted to establish Federally-Facilitated Marketplaces, which are set up and run by the federal government. Additional information and original research that contributed to this map can be found here: "State Action to Establish Health Insurance Marketplaces."
[Last Updated: 10/23/2013]
Click on a state to see more information on Health Insurance Exchanges in that state
- State Based Marketplace
- State-Federal Partnership Marketplace (State conducts plan management and consumer assistance)
- Federally-Facilitated Marketplace
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| State | Status of Health Insurance Marketplaces | Details |
|---|---|---|
| Alabama | Federally-Facilitated Marketplace | |
| Alaska | Federally-Facilitated Marketplace | |
| Arizona | Federally-Facilitated Marketplace | |
| Arkansas | State-Federal Partnership Marketplace (State conducts plan management and consumer assistance) | A.C.A. § 23-61-803: Establishes the Arkansas Health Insurance Marketplace as a nonprofit legal entity to be established by the federal government. |
| California | State Based Marketplace | Cal. Gov. Code § 100500: Establishes the California Health Benefit Exchange within the state as an independent, public entity. |
| Colorado | State Based Marketplace | C.R.S.A. § 10-22-104: Establishes the Colorado Health Benefit Exchange within the state as a public entity. |
| Connecticut | State Based Marketplace | C.G.S.A. § 38a-1081: Establishes the Connecticut Health Insurance Exchange as a nonprofit corporation not to be construed as a department or agency of the state. |
| Delaware | State-Federal Partnership Marketplace (State conducts plan management and consumer assistance) | |
| District of Columbia | State Based Marketplace | DC ST § 31-3171.02: Establishes the DC Health Benefit Authority as an independent authority of the DC Government, housed within the DC Department of Health Care Finance |
| Florida | Federally-Facilitated Marketplace | |
| Georgia | Federally-Facilitated Marketplace | |
| Hawaii | State Based Marketplace | H.R.S. § 435H-2: Establishes the Hawaii Health Insurance Exchange, called the Hawaii Health Connector, as a nonprofit corporation. |
| Idaho | State Based Marketplace | I.C. § 41-6104: Establishes the Idaho Health Insurance Exchange as a nonprofit, independent body that operates under the supervision of a Board. |
| Illinois | State-Federal Partnership Marketplace (State conducts plan management and consumer assistance) | 215 ILCS 122/5-5: Establishes the Illinois Health Benefit Exchange as a state-federal partnership, where the state will retain plan management and consumer assistance functions. |
| Indiana | Federally-Facilitated Marketplace | |
| Iowa | State-Federal Partnership Marketplace (State conducts plan management and consumer assistance) | |
| Kansas | Federally-Facilitated Marketplace | |
| Kentucky | State Based Marketplace | 900 KY. Admin. Regs. 10:010E: Establishes the Kentucky Health Benefit Exchange within the Cabinet of Health and Family Services by Executive Order by Governor Beshear. |
| Louisiana | Federally-Facilitated Marketplace | |
| Maine | Federally-Facilitated Marketplace | |
| Maryland | State Based Marketplace | MD Code Insurance § 31-102: Establishes the Maryland Health Benefit Exchange as a corporation. |
| Massachusetts | State Based Marketplace | M.G.L.A. 176Q §2: Establishes the Commonwealth Health Insurance Connector as an independent public entity. |
| Michigan | State-Federal Partnership Marketplace (State conducts plan management and consumer assistance) | |
| Minnesota | State Based Marketplace | M.S.A. § 62V.03: Establishes the Minnesota Insurance Marketplace as a state agency. |
| Mississippi | Federally-Facilitated Marketplace | |
| Missouri | Federally-Facilitated Marketplace | |
| Montana | Federally-Facilitated Marketplace | |
| Nebraska | Federally-Facilitated Marketplace | |
| Nevada | State Based Marketplace | N.R.S. § 695I.200: Establishes the Silver State Health Insurance Exchange within the state. |
| New Hampshire | State-Federal Partnership Marketplace (State conducts plan management and consumer assistance) |
N.H. Rev. Stat. § 420:N-7: The law prohibits any state agency or entity in the state of New Hampshire from creating or participating in a state-based health insurance exchange. However, state agencies may interact with the federal government to create a federally-facilitated exchange for the state
N.H. Rev. Stat. § 420:N-8: The law requires that if a federally-facilitated exchange is established in New Hampshire, that the Insurance Commissioner retain its authority, including licensing of producers/carriers, rate approval, reinsurance, network adequacy, grievance standards, and unfair trade practices, for products sold on the exchange.
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| New Jersey | Federally-Facilitated Marketplace | |
| New Mexico | State Based Marketplace | N.M.S.A. § 59A-23F-3: The law establishes the New Mexico Health Insurance Exchange as a nonprofit public corporation within the state. |
| New York | State Based Marketplace | 9 NYCRR § 8.42: This Executive Order was issued by Governor Cuomo to establish the New York Health Benefit Exchange within the New York Department of Health. |
| North Carolina | Federally-Facilitated Marketplace | |
| North Dakota | Federally-Facilitated Marketplace | |
| Ohio | Federally-Facilitated Marketplace | |
| Oklahoma | Federally-Facilitated Marketplace | |
| Oregon | State Based Marketplace | O.R.S. § 741.001: Establishes the Oregon Health Insurance Exchange Corporation as a public corporation performing government functions. |
| Pennsylvania | Federally-Facilitated Marketplace | |
| Rhode Island | State Based Marketplace | RI Executive Order No. 11-09: Rhode Island Governor Lincoln Chafee signed an Executive Order, establishing the Rhode Island Health Benefit Exchange within the Executive Department. |
| South Carolina | Federally-Facilitated Marketplace | |
| South Dakota | Federally-Facilitated Marketplace | |
| Tennessee | Federally-Facilitated Marketplace | |
| Texas | Federally-Facilitated Marketplace | |
| Utah | State-Federal Partnership Marketplace (State conducts plan management and consumer assistance) | U.C.A. § 63M-1-2504: Utah has created an Office of Consumer Health Services within the Governor’s Office of Economic Development, which has created a Health Insurance Exchange for small businesses, which the state regulates. The federal government will establish and run the individual marketplace in the state. |
| Vermont | State Based Marketplace | 33 V.S.A. § 1803: The Department of Vermont Access must establish the Vermont Health Benefit Exchange, to be administered by the Department and an advisory committee. |
| Virginia | Federally-Facilitated Marketplace | |
| Washington | State Based Marketplace | R.C.W. § 43.71.020: Establishes the Washington Health Benefit Exchange as a public-private partnership, separate and distinct from the state. |
| West Virginia | State-Federal Partnership Marketplace (State conducts plan management and consumer assistance) | W. Va. Code § 33-16G-3: Establishes the West Virginia Health Benefit Exchange within the Office of the Insurance Commissioner, as a state entity. The Exchange must obtain federal funding and be recognized as an exchange under the federal law. |
| Wisconsin | Federally-Facilitated Marketplace | |
| Wyoming | Federally-Facilitated Marketplace |
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