Since the enactment of the Affordable Care Act, the roles of states and the federal government in establishing the new health insurance marketplaces―exchanges where people can shop for high-quality, affordable health plans—have evolved considerably. In a new blog post, Sarah Dash, Christine Monahan, and Kevin Lucia of the Georgetown University Health Policy Institute explain that the law originally called for just two options: state-run or federally run exchanges.
What has emerged, however, is a continuum of options, in which states and the federal government share responsibilities for the core exchange functions. Visit the Commonwealth Fund Blog for a comprehensive review of all of the exchange options and where each state falls on the continuum.