State Action to Establish Health Insurance Marketplaces

May 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 existing marketplaces, state legislation, and executive orders.

Health Insurance Marketplace by State

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

Domain State Approach
*Utah plans to operate its small business marketplace. The federal government will operate the state’s individual marketplace.
**In New Mexico, the federal government will operate the individual market in 2014.
***Kansas, Maine, Montana, Nebraska, Ohio, South Dakota, and Virginia will conduct the same plan management activities as a state partnership marketplace but will otherwise have a federally facilitated marketplace.
Source: National Conference of State Legislatures, Federal Health Reform: State Legislative Tracking Database; Politico.com; Center on Health Insurance Reforms, Georgetown University Health Policy Institute; Commonwealth Fund analysis.

States with laws or executive orders:
Domain State Approach Details
Sources