Track State Exchange Actions on State Health Facts

Monitor where states are on creating their health insurance exchanges under under the Affordable Care Act and what those exchanges may look like through the Kaiser Family Foundation’s Exchange Monitor, featuring new data on

Find the following information for states around the nation on progress in establishing their exchanges by January 1, 2014:

  • Status of State Action: Identify whether exchange legislation has been enacted, has passed and is awaiting the Governor’s signature, or is pending in the legislature, or whether the Governor has issued an Executive Order.
  • Purpose of State Action: Understand the purpose of the state action, such as whether the state is or intends to establish an exchange or is studying the feasibility of establishing an exchange.
  • Structure of the exchange: Learn whether the exchanges will be structured as quasi-governmental entities, non-profit organizations, or will be operated by the state.
  • Type of exchange: Find out which states are establishing exchanges that will function as active purchasers versus clearinghouses for insurance plans.

Additionally, find new data on state health insurance exchange governance, including the number and stakeholder representation of exchange board members and any conflict of interest provisions specified in the state exchange legislation. also has data on federal grant funding for exchanges. Learn which states have been awarded early innovator grants and those that have received establishment grants.

Find and compare other health reform data on, including enrollment numbers in the Pre-Existing Conditions Plans by state, the estimated increases in enrollment and spending by state as a result of the Medicaid expansion and other key state data related to the Affordable Care Act.

Also on, the Health Reform Source offers several resources on health insurance exchanges, including an overview of the exchanges in FAQs, a profile of potential health insurance exchange enrollees, an analysis projecting deductibles in the exchanges, and an infographic illustrating who might obtain coverage through the exchanges. is a Kaiser Family Foundation website.

The Kaiser Family Foundation is a non-profit private operating foundation, based in Menlo Park, California, dedicated to producing and communicating the best possible information and analysis on health issues.


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