The Advisory Board Company has an updated chart on the status of state-by-state decisions on whether to implement a state-run health insurance exchange, to partner with the federal government to operate a partnership-exchange, or to choose to have a federally-run exchange operate in their state under the Patient Protection and Affordable Care Act. While states had to declare their intent to implement a state-run exchange by December 14, they have until February 15, 2013 to decide whether to operate a partnership exchange or opt for the federally-run exchange.
In any scenario, the federal government’s responsibility for implementing health insurance exchanges has dramatically increased and it will now be a major challenge for the Department of Health and Human Services to operate the federal exchange (requiring customization for the different Medicaid and other health insurance regulations in each state).
Ignatius Bau 