State Action to Establish Health Insurance Marketplaces

July 2013 — Use this interactive map to review the status of state action on state health insurance marketplaces, also called exchanges, and view key aspects of state-run marketplaces.

Health Insurance Marketplace by State

Interact with the map to discover details about state health insurance marketplaces.

Domain State Approach
*Iowa is responsible for plan management only.
**In Idaho and New Mexico, the federal government will operate the individual market in 2014.
Source: National Conference of State Legislatures, Federal Health Reform: State Legislative Tracking Database;; Center on Health Insurance Reforms, Georgetown University Health Policy Institute; Commonwealth Fund analysis.

States with laws or executive orders:
Domain State Approach Details