As we previously discussed, PPACA requires each state to establish a health insurance exchange by January 1, 2014, and if a state chooses not to do so, HHS will step in and administer that state’s exchange. Originally, states were required to notify HHS of their intent to set up an Exchange (and to submit an Exchange Blueprint specifying implementation details) by November 16, 2012 (which is 30 business days prior to January 1, 2013, the date HHS is required to certify states’ plans to run their own Exchange in 2014).
However, on November 9, HHS issued a series of revised FAQs on the Exchange Blueprint in which it extended the deadline to submit an Exchange Blueprint to December 14, 2012. Then, in response to a request from the Republican Governors’ Association, on November 15 (just 1 day prior to the original deadline), HHS Secretary Sebelius also extended the deadline for states to declare their intent to set up their own Exchange to December 14. The letter also clarified that states may apply to operate their Exchanges in partnership with the federal government by February 15, 2013, and a state may apply at any time to run an Exchange in the future.
For state-by-state information on the status of the Exchanges, the Kaiser Family Foundation has a website summarizing each state’s legislative and executive activity. According to the website, as of November 16, 17 states had declared their intent to set up their own exchange, 6 plan for a partnership exchange, 15 plan to default to the federal exchange, and 13 remain undecided.