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State-by-State Exchange Implementation

Although the ACA mandates that each state must have a health insurance exchange, most need to pass legislation to create the authority to set them up. A study by the Center for Budget and Policy Priorities (CBPP) of state exchange implementation shows that states are in varying states of progress.

This analysis shows that 33 states have considered bills to establish an exchange, with 10 passing. An additional 9 states have approved bills that do not necessarily establish one, but declares the state’s intent to do so. Twelve states have yet to consider any exchange legislation.

California not only passed exchange legislation (SB900, AB1602), but recently appointed Peter Lee the Executive Director of the HBEX.

All exchanges must be operational by January 1, 2014.

The CBPP analysis is available online.

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