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State Decisions on Health Insurance Exchanges and the Medicaid Expansion, as of May 10, 2013

Location Status of State Exchange Decision Medicaid Expansion Decision Executive Activity

United States 18 Declared State-based Exchange; 7 Planning for Partnership Exchange; 26 Default to Federal Exchange 29 Supports; 20 Opposes; 2 Weighing Options

Alabama Default to Federal Exchange Opposes

Alaska Default to Federal Exchange Opposes

Arizona Default to Federal Exchange Supports

Arkansas Planning for Partnership Exchange Supports1

California Declared State-based Exchange Supports

Colorado Declared State-based Exchange Supports1

Connecticut Declared State-based Exchange Supports

Delaware Planning for Partnership Exchange Supports

District of Columbia Declared State-based Exchange Supports

Florida Default to Federal Exchange Supports

Georgia Default to Federal Exchange Opposes

Hawaii Declared State-based Exchange Supports

Idaho Declared State-based Exchange Opposes2

Illinois Planning for Partnership Exchange Supports

Indiana Default to Federal Exchange Opposes2

Iowa Planning for Partnership Exchange Opposes

Kansas Default to Federal Exchange3 Weighing Options

Kentucky Declared State-based Exchange Supports

Louisiana Default to Federal Exchange Opposes

Maine Default to Federal Exchange3 Opposes

Maryland Declared State-based Exchange Supports1

Massachusetts Declared State-based Exchange Supports

Michigan Planning for Partnership Exchange Supports

Minnesota Declared State-based Exchange Supports1

Mississippi Default to Federal Exchange4 Opposes

Missouri Default to Federal Exchange Supports

Montana Default to Federal Exchange3 Supports

Nebraska Default to Federal Exchange3 Opposes

Nevada Declared State-based Exchange Supports

New Hampshire Planning for Partnership Exchange Supports

New Jersey Default to Federal Exchange Supports

New Mexico Declared State-based Exchange Supports1

New York Declared State-based Exchange Supports1

North Carolina Default to Federal Exchange Opposes5

North Dakota Default to Federal Exchange Supports1

Ohio Default to Federal Exchange3 Supports

Oklahoma Default to Federal Exchange Opposes

Oregon Declared State-based Exchange Supports

Pennsylvania Default to Federal Exchange Opposes2

Rhode Island Declared State-based Exchange Supports

South Carolina Default to Federal Exchange Opposes

South Dakota Default to Federal Exchange3 Weighing Options6

Tennessee Default to Federal Exchange Opposes7

Texas Default to Federal Exchange Opposes

Utah Default to Federal Exchange8 Opposes5

Vermont Declared State-based Exchange Supports

Virginia Default to Federal Exchange3 Opposes9

Washington Declared State-based Exchange Supports

West Virginia Planning for Partnership Exchange Supports

Wisconsin Default to Federal Exchange Opposes

Wyoming Default to Federal Exchange Opposes5

via Table Viewer.

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