13 States Officially Announce Plans to Establish a State-Based Exchange

By Deepak Madala

Now that the Supreme Court has made its decision, many states are charging ahead to ensure that they are ready to start enrolling people in coverage through health insurance exchanges by next fall. Yesterday, Kentucky became the thirteenth state to formally declare its intention to establish a state-based exchange. Kentucky Governor Steve Beshear made the announcement in a letter to Health and Human Services (HHS) Secretary Kathleen Sebelius.

States seeking to operate either a state-based or a federal-state partnership health insurance exchange have until November 16th of this year to submit their declaration letter to Secretary Sebelius, and they will need to have their exchange ready for the start of open enrollment next October. HHS plans to establish federally-facilitated exchanges in states that choose not to set up their own exchanges.

Recognizing the limited amount of time remaining before the start of open enrollment and the significant amount of work ahead, Governor Beshear submitted Kentucky’s declaration early and announced plans to hold “a series of forums to gather input from around the state.” We know that partners from the Enroll Kentucky coalition will be eager to continue offering their input on how to get as many uninsured Kentuckians enrolled as possible.

The 12 other states that are moving ahead with Kentucky to establish state-based exchanges and have already submitted their official declarations to HHS are California, Colorado, Connecticut, Hawaii, Massachusetts, Maryland, Minnesota, New York, Oregon, Rhode Island, Vermont, and Washington.

Many of these states have also started planning their statewide public education and outreach campaigns. Some of the materials that these states have developed are available through our new public education resource center.

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