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Status Of State Health Insurance Exchanges


Status of State Health Insurance Exchange Decisions

Governors and other state officials, across the states, are deciding whether their state will establish a Health Insurance Exchange. The Department of Health and Human Services has given States until Friday November 16, 2012 to decide. We have been following this issue closely and here’s the status of the states as best as we can tell.

States NOT establishing a State Exchange (17):

ALABAMA
ALASKA
FLORIDA
INDIANA
IOWA
KANSAS
LOUISIANA
MAINE
MISSOURI
NEW HAMPSHIRE
NORTH DAKOTA
OHIO
SOUTH CAROLINA
SOUTH DAKOTA
TEXAS
VIRGINA
WYOMING

Undecided States (15):

ARIZONA
ARKANSAS
GEORGIA
IDAHO
MICHIGAN
MONTANA
NEBRASKA
NEW JERSEY
NEW MEXICO
NORTH CAROLINA
OKLAHOMA
PENNSYLVANIA
TENNESSEE
WEST VIRGINA
WISCONSIN

States plan to establish a State Exchange (18):

CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
HAWAII
ILLINOIS
KENTUCKY
MARYLAND
MASSACHUSETTS
MINNESOTA
MISSISSIPPI
NEVADA
NEW YORK
OREGON
RHODE ISLAND
UTAH
VERMONT
WASHINGTON

Notes:
Created from information Kaiser Health News’ Exchange map>/a> and reports from PoliticoPro Health and other news sources.

FL: We have not removed Florida yet despite comments made by Gov. Scott that seem to indicate he may change his mind. PoliticoPro reports that the CATO Institute and Freedom Works received multiple assurances that Gov. Scott hasn’t changed his position “one iota.”)

NH: New Hampshire’s new governor may attempt to move towards establishing an exchange but we have left it in the “No state Exchange” category based on past legislation signed by the governor that blocked the Exchange. See http://www.cato-at-liberty.org/new-hampshires-democratic-governor-signs-gop-bill-blocking-obamacare-exchange/ .
MO: Missourians passed a referendum this month that prohibits its governor [who supports a state exchange] from acting unilaterally

WV: West Virginia is expected to announce 11/15/2012 that it will NOT establish a state exchange;

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