State Decisions on Health Insurance Exchanges
Location |
Status of State Exchange Decision |
Medicaid Expansion Decision Executive Activity |
United States |
17 Declared State-based Exchange; 7 Planning for Partnership Exchange; 27 Default to Federal Exchange |
29 Supports; 20 Opposes; 2 Weighing Options |
Alabama |
Default to Federal Exchange |
Opposes |
Alaska |
Default to Federal Exchange |
Opposes |
Arizona |
Default to Federal Exchange |
Supports |
Arkansas |
Planning for Partnership Exchange |
Supports |
California |
Declared State-based Exchange |
Supports |
Colorado |
Declared State-based Exchange |
Supports |
Connecticut |
Declared State-based Exchange |
Supports |
Delaware |
Planning for Partnership Exchange |
Supports |
District of Columbia |
Declared State-based Exchange |
Supports |
Florida |
Default to Federal Exchange |
Supports |
Georgia |
Default to Federal Exchange |
Opposes |
Hawaii |
Declared State-based Exchange |
Supports |
Idaho |
Declared State-based Exchange |
Opposes |
Illinois |
Planning for Partnership Exchange |
Supports |
Indiana |
Default to Federal Exchange |
Opposes |
Iowa |
Planning for Partnership Exchange |
Opposes |
Kansas |
Default to Federal Exchange |
Weighing Options |
Kentucky |
Declared State-based Exchange |
Supports |
Louisiana |
Default to Federal Exchange |
Opposes |
Maine |
Default to Federal Exchange |
Opposes |
Maryland |
Declared State-based Exchange |
Supports |
Massachusetts |
Declared State-based Exchange |
Supports |
Michigan |
Planning for Partnership Exchange |
Supports |
Minnesota |
Declared State-based Exchange |
Supports |
Mississippi |
Default to Federal Exchange |
Opposes |
Missouri |
Default to Federal Exchange |
Supports |
Montana |
Default to Federal Exchange |
Supports |
Nebraska |
Default to Federal Exchange |
Opposes |
Nevada |
Declared State-based Exchange |
Supports |
New Hampshire |
Planning for Partnership Exchange |
Supports |
New Jersey |
Default to Federal Exchange |
Supports |
New Mexico |
Declared State-based Exchange |
Supports |
New York |
Declared State-based Exchange |
Supports |
North Carolina |
Default to Federal Exchange |
Opposes |
North Dakota |
Default to Federal Exchange |
Supports |
Ohio |
Default to Federal Exchange |
Supports |
Oklahoma |
Default to Federal Exchange |
Opposes |
Oregon |
Declared State-based Exchange |
Supports |
Pennsylvania |
Default to Federal Exchange |
Opposes |
Rhode Island |
Declared State-based Exchange |
Supports |
South Carolina |
Default to Federal Exchange |
Opposes |
South Dakota |
Default to Federal Exchange |
Weighing Options |
Tennessee |
Default to Federal Exchange |
Opposes |
Texas |
Default to Federal Exchange |
Opposes |
Utah |
Default to Federal Exchange |
Opposes |
Vermont |
Declared State-based Exchange |
Supports |
Virginia |
Default to Federal Exchange |
Opposes |
Washington |
Declared State-based Exchange |
Supports |
West Virginia |
Planning for Partnership Exchange |
Supports |
Wisconsin |
Default to Federal Exchange |
Opposes |
Wyoming |
Default to Federal Exchange |
Opposes |
