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 |
