The State of the States As We Know It

Our very first blog identified how the District of Columbia and each state was planning on implementing the mandated Health Insurance Marketplace (or Exchange) under the Patient Protection and Affordable Care Act (PPACA, ACA). As we are moving ever closer to the open enrollment date for the new Exchange requirements (October 1, 2013), below is an updated status report for Exchange and Medicaid expansion decisions for the states and the District of Columbia

State Decisions on Health Insurance Exchanges and the Medicaid Expansion, as of May 30, 2013 (provided by the Kaiser Family Foundation)

Location Status of State Exchange Decision Current Status of Medicaid Expansion Decision
United States 17 Declared State-based Exchange; 7 Planning for Partnership Exchange; 27 Default to Federal Exchange 23 Moving Forward at this Time; 20 Not Moving Forward at this Time; 8 Debate Ongoing
Alabama Default to Federal Exchange Not Moving Forward at this Time
Alaska Default to Federal Exchange Not Moving Forward at this Time
Arizona Default to Federal Exchange Debate Ongoing
Arkansas Planning for Partnership Exchange Moving Forward at this Time
California Declared State-based Exchange Moving Forward at this Time
Colorado Declared State-based Exchange Moving Forward at this Time
Connecticut Declared State-based Exchange Moving Forward at this Time
Delaware Planning for Partnership Exchange Moving Forward at this Time
District of Columbia Declared State-based Exchange Moving Forward at this Time
Florida Default to Federal Exchange Not Moving Forward at this Time
Georgia Default to Federal Exchange Not Moving Forward at this Time
Hawaii Declared State-based Exchange Moving Forward at this Time
Idaho Declared State-based Exchange Not Moving Forward at this Time
Illinois Planning for Partnership Exchange Moving Forward at this Time
Indiana Default to Federal Exchange Debate Ongoing
Iowa Planning for Partnership Exchange Moving Forward at this Time
Kansas Default to Federal Exchange Not Moving Forward at this Time
Kentucky Declared State-based Exchange Moving Forward at this Time
Louisiana Default to Federal Exchange Not Moving Forward at this Time
Maine Default to Federal Exchange Debate Ongoing
Maryland Declared State-based Exchange Moving Forward at this Time
Massachusetts Declared State-based Exchange Moving Forward at this Time
Michigan Planning for Partnership Exchange Debate Ongoing
Minnesota Declared State-based Exchange Moving Forward at this Time
Mississippi Default to Federal Exchange Not Moving Forward at this Time
Missouri Default to Federal Exchange Not Moving Forward at this Time
Montana Default to Federal Exchange Not Moving Forward at this Time
Nebraska Default to Federal Exchange Not Moving Forward at this Time
Nevada Declared State-based Exchange Moving Forward at this Time
New Hampshire Planning for Partnership Exchange Debate Ongoing
New Jersey Default to Federal Exchange Moving Forward at this Time
New Mexico Declared State-based Exchange Moving Forward at this Time
New York Declared State-based Exchange Moving Forward at this Time
North Carolina Default to Federal Exchange Not Moving Forward at this Time
North Dakota Default to Federal Exchange Moving Forward at this Time
Ohio Default to Federal Exchange Debate Ongoing
Oklahoma Default to Federal Exchange Not Moving Forward at this Time
Oregon Declared State-based Exchange Moving Forward at this Time
Pennsylvania Default to Federal Exchange Debate Ongoing
Rhode Island Declared State-based Exchange Moving Forward at this Time
South Carolina Default to Federal Exchange Not Moving Forward at this Time
South Dakota Default to Federal Exchange Not Moving Forward at this Time
Tennessee Default to Federal Exchange Debate Ongoing
Texas Default to Federal Exchange Not Moving Forward at this Time
Utah Default to Federal Exchange Not Moving Forward at this Time
Vermont Declared State-based Exchange Moving Forward at this Time
Virginia Default to Federal Exchange Not Moving Forward at this Time
Washington Declared State-based Exchange Moving Forward at this Time
West Virginia Planning for Partnership Moving Forward at this Time
Wisconsin Default to Federal Exchange Not Moving Forward at this Time
Wyoming Default to Federal Exchange Not Moving Forward at this Time

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