State Health Reform Implementation Activity

*This chart is no longer being updated. Information is current as of May 2012.

State	States with at least one Level I Exchange Establisment Grant1	Legislation or Executive Order Establishing an Exchange2	Medicaid Eligibility System Advance Planning Document Approved3	Addressed all 10 ACA insurance market reforms in law or regulation4	Applied for Rate Review Grant and planned to expand the scope of health insurance premium review or planned to seek additional legislative authority5	Hosts a recently updated website for the public about active health reform implementation activity6	At least one state official has participated on State Refor(u)m7	TOTAL
MA	X	X*	X		X	X	X	6
MD	X	X	X	X		X	X	6
NV	X	X	X		X	X	X	6
NY	X	X		X	X	X	X	6
OR	X	X	X		X	X	X	6
RI	X	X	X		X	X	X	6
VT	X	X		X	X	X	X	6
CA	X	X			X	X	X	5
CT	X	X		X		X	X	5
DC	X	X			X	X	X	5
KY	X		X		X	X	X	5
NM	X		X		X	X	X	5
AL	X		X		X	X	X	5
HI	X	X	X	X		X		5
AZ	X		X			X	X	4
CO	X	X				X	X	4
ID	X				X	X	X	4
IL	X		X		X		X	4
NC	X			X	X		X	4
TN	X				X	X	X	4
WA	X	X				X	X	4
WV	X	X				X	X	4
AR	X				X	X		3
IA	X			X			X	3
LA			X		X		X	3
ME	X			X			X	3
MN	X					X	X	3
MO	X				X		X	3
MS	X				X	X		3
MT			X		X		X	3
NE	X			X			X	3
OK			X		X		X	3
UT		X*			X		X	3
VA				X		X	X	3
IN	X	X					X	3
MI	X						X	2
ND				X			X	2
NJ	X		X					2
PA	X				X			2
SD	X			X				2
WI					X		X	2
DE	X					X		2
KS			X			X		2
FL					X			1
GA			X					1
OH							X	1
SC			X					1
WY			X					1
AK								0
NH								0
TX								0
TOTAL	34	16	18	12	24	25	35

Notes
= Active States   = Moderately Active   = Not Active
*Established an exchange prior to the Affordable Care Act.
Click the orange X marks to view supporting documents related to each state’s implementation activity.
Download state maps displaying data from this chart.
Sources
¹Healthcare.gov, Exchange Grants Factsheet and State Refor(u)m Establishment Grants Chart (accessed June 1, 2012).
²National Conference of State Legislatures, State Actions to Implement Health Insurance Exchanges and State Refor(u)m Exchange Legislation Chart (accessed June 1, 2012).
³StateHealthFacts.org, Integration and Upgrade of Medicaid and CHIP Eligibility Systems, January 2012 (accessed June 1, 2012).
⁴The Commonwealth Fund, Implementing the Affordable Care Act: State Action on Early Market Reform, March 2012 (accessed June 1, 2012).
⁵Healthcare.gov, Health Insurance Premium Grants: Detailed State by State Summary of Proposed Activities (accessed June 1, 2012).
⁶State has posted state-generated information in the year 2012.
⁷At least one state official has posted a document or comment on Statereforum.org.
 
Produced by: Chris Cantrell, Sonya Schwartz, Lela Shimaka, Nicole Dunifon and Alice Weiss, National Academy for State Health Policy.