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state of implementation

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    State Health Reform Implementation Activity (as of June 2012)

    StateStates with at least one Level I Exchange Establisment Grant1Legislation or Executive Order Establishing an Exchange2Medicaid Eligibility System Advance Planning Document Approved3Addressed all 10 ACA insurance market reforms in law or regulation4Applied for Rate Review Grant and planned to expand the scope of health insurance premium review or planned to seek additional legislative authority5Hosts a recently updated website for the public about active health reform implementation activity6At least one state official has participated on State Refor(u)m7TOTAL
    MA
    X*
    X
     
    X
    6
    MD
    X
    X
     
    X
    6
    NV
    X
     
    X
    6
    NY
     
    X
    X
    6
    OR
    X
     
    X
    6
    RI
    X
     
    X
    6
    VT
     
    X
    X
    6
    CA
     
     
    X
    5
    CT
     
    X
     
    X
    5
    DC
    X
     
     
    X
    5
    KY
     
    X
     
    X
    5
    NM
     
    X
     
    X
    5
    AL
    X
     
    X
     
    X
    5
    HI
    X
    X
    X
     
     
    5
    AZ
     
    X
     
     
    X
    4
    CO
     
     
     
    X
    4
    ID
     
     
     
    X
    4
    IL
     
    X
     
     
    X
    4
    NC
    X
     
     
    X
     
    X
    4
    TN
     
     
     
    X
    4
    WA
     
     
     
    X
    4
    WV
     
     
     
    X
    4
    AR
     
     
     
     
    3
    IA
     
     
    X
     
     
    X
    3
    LA
     
     
    X
     
     
    X
    3
    ME
     
     
    X
     
     
    X
    3
    MN
     
     
     
     
    X
    3
    MO
     
     
     
     
    X
    3
    MS
     
     
     
     
    3
    MT
     
     
    X
     
     
    X
    3
    NE
     
     
    X
     
     
    X
    3
    OK
     
     
    X
     
     
    X
    3
    UT
     
    X*
     
     
     
    X
    3
    VA
     
     
     
    X
     
    X
    3
    IN
    X
     
     
     
     
    X
    3
    MI
    X
     
     
     
     
     
    X
    2
    ND
     
     
     
    X
     
     
    X
    2
    NJ
    X
     
    X
     
     
     
     
    2
    PA
     
     
     
     
     
    2
    SD
    X
     
     
    X
     
     
     
    2
    WI
     
     
     
     
     
    X
    2
    DE
    X
     
     
     
     
     
    2
    KS
     
     
    X
     
     
     
    2
    FL
     
     
     
     
     
     
    1
    GA
     
     
    X
     
     
     
     
    1
    OH
     
     
     
     
     
     
    X
    1
    SC
     
     
    X
     
     
     
     
    1
    WY
     
     
    X
     
     
     
     
    1
    AK
     
     
     
     
     
     
     
    0
    NH
     
     
     
     
     
     
     
    0
    TX
     
     
     
     
     
     
     
    0
    TOTAL
    34
    16
    18
    12
    24
    25
    35
     

    Notes

    = Active States   = Moderately Active   = Not Active

    *Established an exchange prior to the Affordable Care Act.

    Click the orange X marks to view supporting documents related to each state's implementation activity.

    Download state maps displaying data from this chart.

    Sources

    1Healthcare.gov, Exchange Grants Factsheet and State Refor(u)m Establishment Grants Chart (accessed June 1, 2012).

    2National Conference of State Legislatures, State Actions to Implement Health Insurance Exchanges and State Refor(u)m Exchange Legislation Chart (accessed June 1, 2012).

    3StateHealthFacts.org, Integration and Upgrade of Medicaid and CHIP Eligibility Systems, January 2012 (accessed June 1, 2012).

    4The Commonwealth Fund, Implementing the Affordable Care Act: State Action on Early Market Reform, March 2012 (accessed June 1, 2012).

    5Healthcare.gov, Health Insurance Premium Grants: Detailed State by State Summary of Proposed Activities (accessed June 1, 2012).

    6State has posted state-generated information in the year 2012.

    7At least one state official has posted a document or comment on Statereforum.org.

     

    Produced by: Chris Cantrell, Sonya Schwartz, Lela Shimaka, Nicole Dunifon and Alice Weiss, National Academy for State Health Policy.