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AFFORDABLE CARE ACT UPDATES BY STATE:

Following are state-by-state decisions as to 1) how to set up health insurance exchanges, i.e. whether to have a State-based Exchange, a State Partnership Exchange in cooperation with the Federal government, or to defer entirely to a Federally-facilitated Exchange, and 2) whether to definitely reject Medicaid expansion:

AL: Federally-facilitated Exchange; no Medicaid expansion
AK: Federally-facilitated Exchange
AZ: Federally-facilitated Exchange
AR: State Partnership Exchange
CA: State-based Exchange
CO: State-based Exchange
CT: State-based Exchange
DE: State Partnership Exchange
DC: State-based Exchange
FL: Federally-facilitated Exchange
GA: Federally-facilitated Exchange; no Medicaid expansion
HI: State-based Exchange
ID: State-based Exchange; no Medicaid expansion
IL: State Partnership Exchange
IN: Federally-facilitated Exchange
IA: State Partnership Exchange; no Medicaid expansion
KS: Federally-facilitated Exchange
KY: State-based Exchange
LA: Federally-facilitated Exchange; no Medicaid expansion
ME: Federally-facilitated Exchange; no Medicaid expansion
MD: State-based Exchange
MA: State-based Exchange
MI: State Partnership Exchange
MN: State-based Exchange
MS: Federally-facilitated Exchange; no Medicaid expansion
MO: Federally-facilitated Exchange
MT: Federally-facilitated Exchange
NE: Federally-facilitated Exchange
NV: State-based Exchange
NH: State Partnership Exchange
NJ: Federally-facilitated Exchange
NM: State-based Exchange
NY: State-based Exchange
NC: Federally-facilitated Exchange; no Medicaid expansion
ND: Federally-facilitated Exchange
OH: Federally-facilitated Exchange
OK: Federally-facilitated Exchange; no Medicaid expansion
OR: State-based Exchange
PA: Federally-facilitated Exchange; no Medicaid expansion
RI: State-based Exchange
SC: Federally-facilitated Exchange; no Medicaid expansion
SD: Federally-facilitated Exchange; no Medicaid expansion
TN: Federally-facilitated Exchange: no Medicaid expansion
TX: Federally-facilitated Exchange; no Medicaid expansion
UT: State-based Exchange
VT: State-based Exchange
VA: Federally-facilitated Exchange
WA: State-based Exchange
WV: State Partnership Exchange
WI: Federally-facilitated Exchange; no Medicaid expansion
WY: Federally-facilitated Exchange

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