Exchange Governance Chart

This chart highlights steps states have taken to create an exchange. If you’d like to read more about exchange policy decisions, check out our State and Partnership Exchange Policy Decisions chart.

Like all State Refor(u)m research, this chart is a collaborative effort with you, the user. State Refor(u)m captures the health reform comments, documents, and links submitted by health policy thinkers and doers all over the country. And our team periodically supplements, analyzes, and compiles this key content.

Know of something we should add to this compilation? Eager to update a fact we’ve included? Your feedback is central to our ongoing, real-time analytical process, so tell us in a comment, or email the author with your suggestion. She can be reached at rdolan@nashp.org.

State1 Level 1 or 2 Establishment Grant2 Exchange Established3 Exchange Design Exchange Governance Exchange Director Exchange Board Appointed3
AK Federally facilitated exchange
AL Level 1 Federally facilitated exchange
AR Level 1 Partnership exchange Cynthia Crone
AZ Level 1 Federally facilitated exchange
Level 1 Legislation State-based exchange Independent public agency Peter V. Lee Yes
CO Level 1 Legislation State-based exchange Quasi-governmental entity Patty Fontneau Yes
CT Level 1 and Level 2 Legislation State-based exchange Public non-profit corporation Kevin Counihan Yes
DE Level 1 Partnership exchange Michelle Amadio
DC Level 1 and Level 2 Legislation  State-based exchange Independent authority that is legally separate from the DC government. Housed at Department of Health Care Finance. Mila Kofman Yes
FL Federally facilitated exchange
GA Federally facilitated exchange
HI Level 1 Legislation State-based exchange Private non-profit entity Tom Matsuda Yes
IA Level 1 Partnership exchange
Level 1 Legislation State-based exchange Independent public corporation Amy Dowd Yes
IL Level 1 Partnership exchange Jennifer Koehler
IN Level 1 Federally facilitated exchange
LA Federally facilitated exchange
KS Federally facilitated exchange
Level 1 Executive Order State-based exchange New office within the Cabinet for Health and Family Services Carrie Banahan
MA Level 1 Legislation State-based exchange Quasi-governmental entity Jean Yang Yes
ME
Level 1 Federally facilitated exchange
Level 1 and Level 2 Legislation State-based exchange Quasi-governmental entity Carolyn Quattrocki Yes
MI Level 1 Federally facilitated exchange
Level 1 Legislation State-based exchange State board Scott Leitz Yes
MO Level 1 Federally facilitated exchange
MS Level 1 State-based SHOP; Federally facilitated individual exchange Within the existing CHIRPA, which is a nonprofit entity. Not applicable4
MT Federally Facilitated Exchange
NC Level 1 Federally facilitated exchange
ND Federally facilitated exchange
NE Level 1 Federally facilitated exchange
NH Partnership exchange
NJ Level 1 Federally facilitated exchange
NM Level 1 Legislation State-based SHOP; Federally facilitated individual exchange Nonprofit public coroporation Mike Nunez Yes
NV Level 1 and Level 2  Legislation State-based exchange Individual public entity Yes
NY Level 1 Executive Order State-based exchange Within the existing Health Department Donna Frescatore Not applicable
OH Federally facilitated exchange
OK Federally facilitated exchange
OR Level 1 Legislation State-based exchange Public Corporation Bruce Goldberg Yes
PA Level 1 Federally facilitated exchange
RI Level 1 and Level 2 Executive Order  State-based exchange New division within the executive branch Christine Ferguson Yes
SC Federally facilitated exchange
SD Level 1 Federally facilitated exchange
TN Level 1 Federally facilitated exchange
TX Federally facilitated exchange
UT Legislation State-based SHOP; Federally facilitated individual exchange Department within Office of Consumer Health Services Patty Connor Not applicable5
VA Federally facilitated exchange
VT Level 1 and Level 2 Legislation  State-based exchange Within the existing Department of Vermont Health Access  Lindsey Tucker Not applicable6
WA Level 1 and Level 2 Legislation State-based exchange. Option to become regional exchange later on. Non-governmental, public/private entity Richard Onizuka Yes
WI Federally facilitated exchange
WV Level 1 Legislation Partnership exchange
WY Federally facilitated exchange
Total 35 15 +DC7 16 state based exchanges, 27 federally facilitated exchanges, 6 partnership exchanges, 3 state SHOP only exchanges n/a 18 14

Notes

1 State abbreviations are linked to exchange websites, where available.

2 For more information on state exchange establishment grants check out our chart and the full list from HHS.
3 For more in-depth analysis of state exchange legislation and board composition, check out our legislation chart.
4 CHIRPA is governed by a nine-member board.
5 Risk adjuster board sets policies related to defined contribution market but does not oversee operations.
6 The Exchange is administered by the Department of Vermont Health Access in consultation with the Medicaid and Exchange Advisory Committee.

7 Total includes Massachusetts, which created the Connector in 2006, prior to the ACA.

Chart Produced by: Rachel Dolan, Sarabeth Zemel and Jeanie Donovan