state of implementation
Exchange Blueprint Chart
*Chart updated May 2013
States opting for a state-based exchange or a partnership exchange are required to submit a blueprint application to HHS. For 2014, certification deadlines have passed, but states will have the option to change in future years. For 2015 and beyond, states transitioning to a state-based or partnership exchange will follow a similar process and timeframe as this past year. More information is contained in the Guidance on State Partnership Exchanges.
This chart, like all State Refor(u)m research, is a collaborative effort with you, the user. State Refor(u)m captures the health reform comments, documents, and links submitted by health policy thinkers and doers all over the country. And our team continually supplements, analyzes, and compiles this key content. If you'd like to read more about exchange policy decisions, check out our Exchange Policy Decision chart; for more on exchange governance, check out our Exchange Governance chart.
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About this chart
States that wish to operate a state based exchange are required to submit a letter of intent and an exchange blueprint by December 14, 2012 for certification or conditional certification by January 1, 2013. States that wish to participate in the partnership model must submit a letter of intent and blueprint by February 15, 2013.
1 Letter reserves right to amend intentions
2 Letter does not specify FFE or partnership FFE
3 State has received conditional approval
4 Only indicates the state rejects a state exchange, does not indicate federal or partnership exchange
5 North Carolina initially submitted a partnership blueprint, but the new administration indicates it will default to FFE
6 Mississippi's application for a state-based exchange was not approved because the governor did not support it
7 HHS recently opened the option to FFE states to perform plan management activities
8 While Utah was conditionally approved for a state-based exchange, they will now have a Federally facilitated individual exchange and a state-run SHOP
Produced by Rachel Dolan National Academy for State Health Policy