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.
Legend
- State-run marketplace using federal website (4)
- State-run marketplace (12 plus DC)
- State–federal partnership; state conducting plan management and consumer assistance (7)
- State running small-business marketplace; federal government running individual marketplace (2)
- Federally facilitated marketplace; state conducting plan management (7)
- Federally facilitated marketplace (18)
Wyoming
Federally facilitated marketplace
West Virginia
State–federal partnership state conducting plan management and consumer assistance
Wisconsin
Federally facilitated marketplace
Washington
State-run marketplace
Vermont
State-run marketplace
Utah
State running small-business marketplace; federal government running individual marketplace
Texas
Federally facilitated marketplace
Tennessee
Federally facilitated marketplace
South Dakota
Federally facilitated marketplace; state conducting plan management
South Carolina
Federally facilitated marketplace
Rhode Island
State-run marketplace
Pennsylvania
Federally facilitated marketplace
Oregon
State-run marketplace using the federal website
Oklahoma
Federally facilitated marketplace
Ohio
Federally facilitated marketplace; state conducting plan management
New York
State-run marketplace
Nevada
State-run marketplace using the federal website.
New Mexico
State-run marketplace using the federal website
New Jersey
Federally facilitated marketplace
New Hampshire
State–federal partnership state conducting plan management and consumer assistance
Nebraska
Federally facilitated marketplace; state conducting plan management
North Dakota
Federally facilitated marketplace
North Carolina
Federally facilitated marketplace
Montana
Federally facilitated marketplace; state conducting plan management
Mississippi
State running small-business marketplace; federal government running the individual marketplace
Missouri
Federally facilitated marketplace
Minnesota
State-run marketplace
Michigan
State–federal partnership state conducting plan management and consumer assistance
Maine
Federally facilitated marketplace; state conducting plan management
Maryland
State-run marketplace
Massachusetts
State-run marketplace
Louisiana
Federally facilitated marketplace
Kentucky
State-run marketplace
Kansas
Federally facilitated marketplace; state conducting plan management
Indiana
Federally facilitated marketplace
Illinois
State–federal partnership state conducting plan management and consumer assistance
Idaho
State-run marketplace
Iowa
State–federal partnership state conducting plan management and consumer assistance
Hawaii
State-run marketplace using federal website
Georgia
Federally facilitated marketplace
Florida
Federally facilitated marketplace
Delaware
State–federal partnership state conducting plan management and consumer assistance
District of Columbia
State-run marketplace
Connecticut
State-run marketplace
Colorado
State-run marketplace
California
State-run marketplace
Arizona
Federally facilitated marketplace
Arkansas
State–federal partnership state conducting plan management and consumer assistance
Alabama
Federally facilitated marketplace
Alaska
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