This chart highlights activity around exchange policy decisions that states have shared on State Refor(u)m.
System Messages
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States’ Approaches to Qualified Health Plan Certification
This chart highlights information about state approaches to qualified health plan certification. The information comes from state and partnership exchange documents available on State Refor(u)m and on state websites.
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Tracking Medicaid Expansion Decisions: A Closer Look at Legislative Activity
At State Refor(u)m, we are continuing to track state Medicaid expansion activities. This revised chart includes additional details on key elements of Medicaid expansion bills that have been introduced in state legislatures, such as proposals to provide coverage to the expansion population through qualified health plans on the exchange, special requirements related to cost sharing or care delivery, or options allowing a state to discontinue participation in the expansion.
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Map: Where States Stand on Exchanges
Find out where states are on exchanges: state, partnership, or federal?
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Exchange Blueprint Chart
Track state exchange blueprints as they come in- and see which options states are choosing.
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Exchange Governance Chart
This chart highlights steps states have taken to create an exchange that states have shared on State Refor(u)m.

Tracking Medicaid Expansion Decisions
At State Refor(u)m, we are continuing to track state Medicaid expansion decisions. This chart includes direct links to statements from the governor or executive branch, activity in the state legislature, and fiscal and demographic analyses from the state or other institution.
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A Closer Look at State Innovation Model Testing Winning States: Payment and Delivery System Reform Analysis
This chart looks at how selected states are planning to reform their payment methods and delivery system approaches based on the State Innovation Model (SIM) Testing Awards.
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Digging in to Benchmark Plan Details
Eager to dig into details about state benchmark plan choices so far? This chart provides key details—with direct links to evidence of coverage documents and CCIIO’s plan summaries—about the plans states have selected or defaulted into. States had until December 26, 2012 to submit comments on the proposed EHB regulations to finalize their benchmark plan decision.
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Exchange and Medicaid IT System Contracts
Interested in learning more about the vendors states are working with to build the systems needed to make health reform work? This chart–made in collaboration with the Office of Health Policy and Technology at UMass Medical School –is intended to help you track where states are so far on selecting vendors for their Exchange and/or Medicaid IT systems and, in the case of states that have selected their IT vendor(s), what their role(s) on building these new systems are.

