Click on a state to see more information on Health Insurance Exchanges in that state
Status of Health Insurance Marketplaces
- 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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