Where States Stand on Exchanges

Updated November 30, 2021

Since 2011, NASHP staff has been dedicated to monitoring the process of the Affordable Care Act’s health insurance exchanges. NASHP supports the State Health Exchange Leadership Network, project which provides a platform for health insurance marketplaces state staff and leaders to participate in peer-to-peer dialogue, discuss emerging issues, and share best practices. On this page, you’ll find information about the different exchange marketplace in all 50 states, as well as up-to-date enrollment information.

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