The Affordable Care Act's Health Insurance Marketplaces by Type

Hover to learn more about each state's ACA marketplace

Use this interactive map to review the status of state action on health insurance marketplaces.

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Alaska

Federally facilitated marketplace

Alabama

Federally facilitated marketplace

Arkansas

State–federal partnership state conducting plan management and consumer assistance

Arizona

Federally facilitated marketplace

California

State-run marketplace

Colorado

State-run marketplace

Connecticut

State-run marketplace

District of Columbia

State-run marketplace

Delaware

State–federal partnership state conducting plan management and consumer assistance

Florida

Federally facilitated marketplace

Georgia

Federally facilitated marketplace

Hawaii

State-run marketplace

Iowa

State–federal partnership state conducting plan management and consumer assistance

Idaho

State-run marketplace

Illinois

State–federal partnership state conducting plan management and consumer assistance

Indiana

Federally facilitated marketplace

Kansas

Federally facilitated marketplace; state conducting plan management

Kentucky

State-run marketplace

Louisiana

Federally facilitated marketplace

Massachusetts

State-run marketplace

Maryland

State-run marketplace

Maine

Federally facilitated marketplace; state conducting plan management

Michigan

State–federal partnership state conducting plan management and consumer assistance

Minnesota

State-run marketplace

 

Missouri

Federally facilitated marketplace

Mississippi

State running small-business marketplace; federal government running the individual marketplace

 

Montana

Federally facilitated marketplace; state conducting plan management

North Carolina

Federally facilitated marketplace

North Dakota

Federally facilitated marketplace

Nebraska

Federally facilitated marketplace; state conducting plan management

New Hampshire

State–federal partnership state conducting plan management and consumer assistance

New Jersey

Federally facilitated marketplace

New Mexico

State-run marketplace using the federal website

 

Nevada

State-run marketplace using the federal website.

New York

State-run marketplace

 

Ohio

Federally facilitated marketplace; state conducting plan management

Oklahoma

Federally facilitated marketplace

Oregon

State-run marketplace using the federal website

Pennsylvania

Federally facilitated marketplace

Rhode Island

State-run marketplace

South Carolina

Federally facilitated marketplace

South Dakota

Federally facilitated marketplace; state conducting plan management

Tennessee

Federally facilitated marketplace

Texas

Federally facilitated marketplace

Utah

State running small-business marketplace; federal government running individual marketplace

Vermont

State-run marketplace

Washington

State-run marketplace

Wisconsin

Federally facilitated marketplace

West Virginia

State–federal partnership state conducting plan management and consumer assistance

Wyoming

Federally facilitated marketplace

*Iowa is responsible for plan management only.

**Delaware and Pennsylvania, which have federally facilitated marketplaces, recently received conditional approval from the U.S. Department of Health and Human Services to operate their own marketplaces and enroll people through the federal website, healthcare.gov.

Source: Center on Health Insurance Reforms, Georgetown University Health Policy Institute; Commonwealth Fund analysis. 

Sources for the King v. Burwell estimates:

 “March 31, 2015 Effectuated Enrollment Snapshot,” Centers for Medicare and Medicaid Services, June 2015, available here: http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-06-02.html

“Health Insurance Marketplaces 2015 Open Enrollment Period: March Enrollment Report,” ASPE, March 2015, available here: http://aspe.hhs.gov/health/reports/2015/MarketPlaceEnrollment/Mar2015/ib_2015mar_enrollment.pdf