Where States Stand on Exchanges

Updated September 2019

Since 2011, NASHP has monitored changes in health insurance exchanges as states and the federal government changed their structure and funding support. Below is information about state exchanges’ marketplace structure and up-to-date enrollment figures. NASHP also supports the State Health Exchange Leadership Network, which provides a platform for marketplaces leaders to discuss emerging issues and share best practices. To find out more about the advantages of state-based marketplace structures, read So You Want to Build a State-based Marketplace? Here’s How! – Advice from Marketplace Leaders.