SummaryIn 2014, most states are relying on the federal government for some or all exchange operational functions.
For an up-to-date version of this post, please read Exchange Operational Models for 2021.
Fifteen states and the District of Columbia are operating their own individual market exchanges. In the other 35 states, the federal government will perform some or all activities, including eligibility determinations, enrollment, website operation, and consumer outreach. Of these 35 states, 15 are contributing to the exchange plan management under a partnership or marketplace plan management model.