Question: I know California got a jump on the other states with exchange legislation and Massachusetts already had an exchange, but it seems most other states are dragging their feet. What's up?
Answer: Several additional states now have the laws in place to set up exchanges, including Maryland, Virginia, West Virginia, Indiana, Washington, Hawaii, Colorado, North Dakota, Oregon, and Vermont.
Here's the overall picture:
- 5-10 states are moving forward, with speed and vision
- 10-15 are actively "exploring" the legislative & policy terrain
- 20-30 are still getting ready to get ready or actively resisting
Many states will not be able to get legislation passed in time to set up their own exchanges. In those chase the federal government will set up an exchange for them.