Status of State Health Insurance Exchanges | Obamacare Watcher

(Updated 11/16/2012 10:10pm) Governors and other state officials, across the states, are deciding whether their state will establish a Health Insurance Exchange. The Department of Health and Human Services has given States until Friday, December 14, 2012 to decide. We have been following this issue closely and here's the status of the states as best as we can tell.

States NOT establishing a State Exchange (19):

ALABAMA
ALASKA
FLORIDA
INDIANA
IOWA
KANSAS
LOUISIANA
MAINE
MISSOURI
MONTANA
NEBRASKA
NEW HAMPSHIRE
NORTH DAKOTA
OHIO
SOUTH CAROLINA
SOUTH DAKOTA
TEXAS
VIRGINIA
WYOMING

Undecided States (12):

ARIZONA
ARKANSAS
GEORGIA
IDAHO
MICHIGAN
NEW JERSEY
OKLAHOMA
PENNSYLVANIA
TENNESSEE
UTAH
WEST VIRGINIA
WISCONSIN

States establishing a federal "partnership" Exchange(3):

DELAWARE
ILLINOIS
NORTH CAROLINA

States plan to establish a State Exchange (16):

CALIFORNIA
COLORADO
CONNECTICUT
HAWAII
KENTUCKY
MARYLAND
MASSACHUSETTS
MINNESOTA
MISSISSIPPI
NEVADA
NEW MEXICO
NEW YORK
OREGON
RHODE ISLAND
VERMONT
WASHINGTON

Notes:
AL: Gov. Bentley says Alabama won't set up exchange, expand Medicaid , AL.com (11/14/2012)

AZ: Brewer picks essential benefits under federal health law, Arizona Daily Star (10/28/2012)

CA: Letter from Gov. Edmund Brown, Jr. to Kathleen Sebelius, Secretary, Department of Health and Human Services (July 10, 2012).

CO: Letter from Gov. John Hickenlooper to Steve Larsen, Deputy Administrator and Director of CCIIO at the Centers for Medicare and Medicaid Services (July 7, 2012).

CT: Letter from Gov. Dannel Malloy to Kathleen Sebelius, Secretary, Department of Health and Human Services (July 10, 2012).

FL: We have not removed Florida yet despite comments made by Gov. Scott that seem to indicate he may change his mind. PoliticoPro reports that the CATO Institute and Freedom Works received multiple assurances that Gov. Scott hasn?t changed his position ?one iota.?)

GA: Georgia Unlikely to Run Health Insurance Exchange: Gov. Deal, Insurance Journal (11/9/2012)

HI: Letter from Gov. Neil Abercrombi to Steve Larsen, Deputy Administrator and Director of CCIIO at the Centers for Medicare and Medicaid Services (July 7, 2012).

IL: Illinois moves ahead on health insurance exchange, BloombergBusinessWeek (11/6/2012)

IA: Branstad: Not enough info for Iowa exchange choice, KWQC.com (11/14/2012)

IN: Pence not ruling out health partnership with feds, WSBT.com (11/14/2012)

KY: Letter from Gov. Steven Beshear to Kathleen Sebelius, Secretary, Department of Health and Human Services (July 10, 2012).

MA: Letter from Gov. Deval Patrick to Mike Hash, Interim Director of CCIIO at the Centers for Medicare and Medicaid Services (July 10, 2012).

MD: Letter from Gov. Martin O'Malley to Kathleen Sebelius, Secretary, Department of Health and Human Services (July 10, 2012).

ME: Maine may give warmer embrace to Obama health law, The Boston Globe (11/10/2012)
On eve of PPACA exchange deadline, many governors still balk, Employee Benefit News (11/15/2012)

MI: Deadline extended for setting up state insurance exchange, The Detroit News (11/10/2012)

MN: Election clears path for health exchange, Winona Daily News (11/9/2012)

MO: Missourians passed a referendum this month that prohibits its governor [who supports a state exchange] from acting unilaterally

MT: PoliticoPro reported on 11/16/2012 that a state official confirms Montana's governor will not be establishing a state exchange.

NC: Press Release Gov. Perdue Chooses State-Federal Partnership (11/15/2012)

ND: ND direction on health care exchange to emerge next year, Prarie Business Magazine (11/15/2012)

NE: Press Release: Gov. Heineman on Federal Health Care Law: $646 Million State Exchange Too Costly (11/15/2012)

NH: New Hampshire's new governor may attempt to move towards establishing an exchange but we have left it in the "No state Exchange" category based on past legislation signed by the governor that blocked the Exchange. See http://www.cato-at-liberty.org/new-hampshires-democratic-governor-signs-gop-bill-blocking-obamacare-exchange/ .

NM: New Mexico moves ahead with health exchange, CBS News (11/15/2012)

NY: Letter from Gov. Andrew Cuomo to Mike Hash, Interim Director of CCIIO at the Centers for Medicare and Medicaid Services (July 9, 2012).

OH: Ohio to let federal government run insurance exchange required by health care law, The Plain Dealer (11/13/2012)

OR: Letter from Gov. John Kitzaber to Steve Larsen, Deputy Administrator and Director of CCIIO at the Centers for Medicare and Medicaid Services (July 6, 2012).

PA: PA: State still shaky on exchange, Medicaid expansion, Watchdog.org (11/14/2012)

RI: Letter from Gov. Lincoln Chafee to Kathleen Sebelius, Secretary, Department of Health and Human Services (July 5, 2012).

SC: Letter from Gov. Nikki Haley to Kathleen Sebelius, Secretary, Department of Health and Human Services (November 15, 2012).

SD: Press Release from the Office of Gov. Dennis Daugaard: South Dakota Will Not Build Health Insurance Exchange, (9/26/2012)

UT: Utah faces deadline for decision on health exchange, The Salt Lake Tribune (11/15/2012)

TN: Tenn.-run health exchange faces GOP roadblock, CBS News (11/14/2012)

VA: Post-election, McDonnell says Virginia will default to federal health insurance exchange, The Washington Post (11/8/2012)

VT: Letter from Gov. Peter Shumlin to Steve Larsen, Deputy Administrator and Director of CCIIO at the Centers for Medicare and Medicaid Services (July 9, 2012).

WA: Letter from Gov. Christine Gregoire to Mike Hash, Interim Director of CCIIO at the Centers for Medicare and Medicaid Services (July 10, 2012).

WI: Walker OK on health exchange was inevitable, The Business Journal (Milwaukee) (11/9/2012)

WV: West Virginia is expected to announce 11/15/2012 that it will NOT establish a state exchange: Tomblin's office mum on insurance exchange, The Charleston Gazette (11/14/2012)

WY: See Feds To Control Wyoming Health Care, Wyoming Tribune-Eagle (11/14/2012).

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Updated 11/15/2012 12:08 to add notes.
Update 11/15/2012 2:54pm:
New Mexico changed to "Establishing a state Exchange." (See New Mexico moves ahead with health exchange)
Delaware, Illinois, and North Carolina changed to "Establishing federal Partnership Exchange." (See Gov. Perdue Chooses State-Federal Partnership)
Utah changed to undecided (See Utah faces deadline for decision on health exchange [The Salt Lake Tribune])
Update 11/15/2012 3:37pm:
Nebraska changed to "NOT establishing a state Exchange." (See Press Release: Gov. Heineman on Federal Health Care Law: $646 Million State Exchange Too Costly)
New Mexico color was corrected on map
Update 11/15/2012 4:03pm:
Adding notes with links to letters from state governors to the Obama Administration stating intent to create an exchange (California, Colorado, Connecticut, Kentucky, Hawaii, Massachusetts, Maryland, New York, Oregon, Rhode Island, Vermont, Washington)
Update 11/15/2012 4:08pm:
Adding notes with links to letter from South Carolina Governor, Nikki Haley to the Obama Administration stating intent NOT to create an exchange.
Update 11/15/2012 4:14pm:
Added link in notes to article that confirms Maine Gov. Paul LePage has no plans to establish a state health insurance exchange.
Update 11/15/2012 9:48pm: Changed deadline from 11/15/2012 to 12/14/2012 to reflect the extension communicated by Sec. Sebelius' to the Republican Governors Association.
Update 11/16/2012 10:10am: Changing Montana to "NOT establishing a state exchange" based on a report that a Montana official confirmed that Governor Brian Schweitzer will not be establishing a state Exchange.

Source: http://obamacarewatcher.org/articles/status-of-state-health-insurance-exchanges

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