Potential Impact of King v. Burwell on the ACA Marketplaces

Hover Over Federally Run Marketplace States for Estimates of Potential Implications of King vs. Burwell Decision

Use this interactive map to review the status of state action on health insurance marketplaces, as well as estimates of the implications of a Supreme Court ruling in favor of King in states with federally run marketplaces.

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Alaska

Number of People Losing Tax Credits Total Value of Tax Credits & Cost Sharing Reductions
Lost (Millions $) 
Increase in the Number of People Uninsured 
 42,000  232.8  34,000

 

Arkansas


 

California

State-run marketplace

Colorado

State-run marketplace

Connecticut

State-run marketplace

District of Columbia

State-run marketplace

Delaware

State-federal partnership

Florida

Federally run marketplace

 

Georgia

Federally run marketplace

Hawaii

State-run marketplace

Iowa

State–federal partnership

 

Idaho

State-run marketplace

Illinois

State–federal partnership

Indiana

Federally run marketplace

 

Kansas

Federally run marketplace

 

Kentucky

State-run marketplace

Louisiana

Federally run marketplace

 

Massachusetts

State-run marketplace

Maryland

State-run marketplace

Maine

Federally run marketplace conducting plan management

 

Michigan

Federal–state partnership

Minnesota

State-run marketplace

 

Missouri

Federally run marketplace

 

 

Mississippi

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

 

Montana

Federally run marketplace; state conducting plan management

North Carolina

Federally run marketplace

 

North Dakota

Federally run marketplace

Nebraska

Federally run marketplace; state running plan management

New Hampshire

State–federal partnership

New Jersey

Federally run 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 run marketplace; state conducted plan management

 

Oklahoma

Federally run marketplace

Oregon

State-run marketplace using the federal website

Pennsylvania

Federally run marketplace

Rhode Island

State-run marketplace

South Carolina

Federally run marketplace

South Dakota

Federally run marketplace; state conducting plan management

Tennessee

Federally run marketplace

Texas

Federally run marketplace

 

Utah

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

Virginia

Federally run marketplace; state conducting plan management

Vermont

State-run marketplace

Washington

State-run marketplace

Wisconsin

Federally run marketplace

West Virginia

State–federal partnership

 

Wyoming

Federally run 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