As we near the second year of the Affordable Care Act’s insurance marketplaces, few additional states have moved to establish their own marketplaces or make bold policy changes. In a new blog post, Sarah Dash of the Alliance for Health Reform and Kevin Lucia of Georgetown University Health Policy Institute’s Center on Health Insurance Reform report that information technology fixes have dominated operational decisions, with seven states—Hawaii, Idaho, Maryland, Massachusetts, Nevada, Oregon, and Vermont—trying a different platform or vendor next year.