Note: If you don't understand what Health Insurance Marketplaces are, my understanding is that if your state hasn't set up a marketplace then you need to go directly through the Federal Government to get your insurance (if you don't already have insurance) starting tomorrow October 1st when Obamacare goes into law in requiring all U.S. citizens to have insurance. If they don't get insurance they will be penalized financially in a variety of ways I believe when they file their Federal taxes.
If you already have health insurance or are on Medi-Care you don't have to do anything. You are covered.
I couldn't get the word button to load without messing up the graphics below so here it is if you want to visit this site directly yourselves:
State Decisions For Creating Health Insurance Marketplaces | The ...
kff.org/health-reform/state-indicator/health-insurance-exchanges/
States can choose to have the Marketplace contract with all qualified health plans (clearinghouse) or states can choose to have ... Health Insurance Exchanges ...State Decisions For Creating Health Insurance Marketplaces
State Decisions For Creating Health Insurance Marketplaces
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Timeframe: as of May 28, 2013
Data View: Text
Locations: United States, States
State Decisions For Creating Health Insurance Marketplaces
| Location | Marketplace Decision | Structure of Marketplace | Type of Marketplace |
|---|---|---|---|
| United States | 17 State-based Marketplace; 7 Partnership Marketplace; 27 Federally-facilitated Marketplace | NA | NA |
| Alabama | Federally-facilitated Marketplace | NA | NA |
| Alaska | Federally-facilitated Marketplace | NA | NA |
| Arizona | Federally-facilitated Marketplace | NA | NA |
| Arkansas | Partnership Marketplace | NA | NA |
| California | State-based Marketplace | Quasi-governmental | Active purchaser |
| Colorado | State-based Marketplace | Quasi-governmental | Clearinghouse |
| Connecticut | State-based Marketplace | Quasi-governmental | Clearinghouse |
| Delaware | Partnership Marketplace | NA | NA |
| District of Columbia | State-based Marketplace | Quasi-governmental | Clearinghouse |
| Florida | Federally-facilitated Marketplace | NA | NA |
| Georgia | Federally-facilitated Marketplace | NA | NA |
| Hawaii | State-based Marketplace | Non-profit | Clearinghouse |
| Idaho | State-based Marketplace1 | Quasi-governmental | Clearinghouse |
| Illinois | Partnership Marketplace | NA | NA |
| Indiana | Federally-facilitated Marketplace | NA | NA |
| Iowa | Partnership Marketplace | NA | NA |
| Kansas | Federally-facilitated Marketplace2 | NA | NA |
| Kentucky | State-based Marketplace | Operated by State | Not yet addressed |
| Louisiana | Federally-facilitated Marketplace | NA | NA |
| Maine | Federally-facilitated Marketplace2 | NA | NA |
| Maryland | State-based Marketplace | Quasi-governmental | Clearinghouse |
| Massachusetts | State-based Marketplace | Quasi-governmental | Active purchaser |
| Michigan | Partnership Marketplace | NA | NA |
| Minnesota | State-based Marketplace | Quasi-governmental | Clearinghouse |
| Mississippi | Federally-facilitated Marketplace3 | NA | NA |
| Missouri | Federally-facilitated Marketplace | NA | NA |
| Montana | Federally-facilitated Marketplace2 | NA | NA |
| Nebraska | Federally-facilitated Marketplace2 | NA | NA |
| Nevada | State-based Marketplace | Quasi-governmental | Clearinghouse |
| New Hampshire | Partnership Marketplace | NA | NA |
| New Jersey | Federally-facilitated Marketplace | NA | NA |
| New Mexico | State-based Marketplace4 | Quasi-governmental | Not yet addressed |
| New York | State-based Marketplace | Operated by State | Active purchaser |
| North Carolina | Federally-facilitated Marketplace | NA | NA |
| North Dakota | Federally-facilitated Marketplace | NA | NA |
| Ohio | Federally-facilitated Marketplace2 | NA | NA |
| Oklahoma | Federally-facilitated Marketplace | NA | NA |
| Oregon | State-based Marketplace | Quasi-governmental | Active purchaser |
| Pennsylvania | Federally-facilitated Marketplace | NA | NA |
| Rhode Island | State-based Marketplace | Operated by State | Active purchaser |
| South Carolina | Federally-facilitated Marketplace | NA | NA |
| South Dakota | Federally-facilitated Marketplace2 | NA | NA |
| Tennessee | Federally-facilitated Marketplace | NA | NA |
| Texas | Federally-facilitated Marketplace | NA | NA |
| Utah | Federally-facilitated Marketplace5 | NA | NA |
| Vermont | State-based Marketplace | Operated by State | Active purchaser |
| Virginia | Federally-facilitated Marketplace2 | NA | NA |
| Washington | State-based Marketplace | Quasi-governmental | Clearinghouse |
| West Virginia | Partnership Marketplace | NA | NA |
| Wisconsin | Federally-facilitated Marketplace | NA | NA |
| Wyoming | Federally-facilitated Marketplace | NA | NA |
notes
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Notes
Data are as of May 28, 2013.
Coverage through the Marketplaces will begin in every state on January 1, 2014, with enrollment beginning October 1, 2013. States can elect to build a fully State-based Marketplace, enter into a state-federal Partnership Marketplace, or default into a Federally-facilitated Marketplace. The Affordable Care Act (ACA) directs the Secretary of Health and Human Services (HHS) to establish and operate a Federally-facilitated Marketplace in any state that is not able or willing to establish a State-based Marketplace. In a Federally-facilitated Marketplace, HHS will perform all Marketplace functions. States entering into a Partnership Marketplace may administer plan management functions, in-person consumer assistance functions, or both, and HHS will perform the remaining Marketplace functions.
For more information see CCIIO’s Guidance on Federally-facilitated Exchanges.
Sources
Data compiled through review of state legislation and other Marketplace documents by the Kaiser Family Foundation. For more detailed descriptions of states’ health insurance Marketplace planning and implementation efforts, please visit State Exchange Profiles. For declaration letters on state-based exchanges from the Governors to HHS click here.
Definitions
Structure of Marketplace: States have the option of establishing the Marketplace as part of an existing state agency or office (Operated by State), as an independent public agency (Quasi-governmental), or as a non-profit entity (Non-profit).
Type of Marketplace: States have flexibility in determining the role of the Marketplace with respect to contracting with health plans. All Marketplaces are required to contract only with health plans the meet minimum federal requirements for qualified health plans. States can choose to have the Marketplace contract with all qualified health plans (clearinghouse) or states can choose to have the Marketplace contract with selected health plans and/or negotiate premium prices with health plans (active purchaser).
NA: Not Applicable
Footnotes
- Idaho received conditional approval from HHS to run a State-based Marketplace. However, due to time constraints in implementing an IT system, the Idaho Health Insurance Exchange Board voted to work with the federal government in running the individual and SHOP Marketplace until their IT platform is fully developed. The state will maintain plan management and consumer assistance functions, while the federal government will operate the IT system.
- Seven states, Kansas, Maine, Montana, Nebraska, Ohio, South Dakota, and Virginia have received approval from HHS to conduct plan management activities to support certification of qualified health plans in the Federally-facilitated Marketplace.
- On November 14, 2012, Mississippi's elected Commissioner of Insurance Mike Chaney submitted a blueprint application to HHS indicating the state's intent to establish a Health Insurance Exchange. However, Governor Phil Bryant opposed the establishment of a State-based Marketplace and on February 7, 2013, HHS rejected the state's application.
- New Mexico received conditional approval from HHS to run a State-based Marketplace. However, due to time constraints in implementing an IT system, the New Mexico Health Insurance Exchange Board voted to work with the federal government in running the individual Marketplace until October 2014. The state will maintain plan management and consumer assistance functions, while the federal government will operate the IT system. The state will run the SHOP Marketplace.
- On May 10, 2013, in a letter to Governor Governor Gary Herbert, HHS announced that it will operate a Federally-facilitated individual Marketplace in Utah and will permit the state to operate the small business, or SHOP, Marketplace.
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