Skip to Main Content
 

The Center for Consumer Information & Insurance Oversight

 

Technical Implementation Letters

Administration officials issue letters requesting information, issuing guidance, announcing progress to date, and other implementation efforts.
State Letters on Exchanges

Under the Affordable Care Act, HHS is required to certify states' plans to run their own Exchanges. A number of states have signaled their intent to create their own state-based Exchange, or a state partnership Exchange in the letters below. A state may submit a letter of intent and an application to operate its own Exchange by December 14, 2012. States may also apply to operate their Exchange in partnership with the federal government by February 15, 2013. And a state may apply at any time to run an Exchange in future years. Learn more about these new health insurance marketplaces and how they can help you. - Opens in a new window

Note: People using assistive technology may not be able to fully access information in these files. For assistance, please email healthcareweb@hhs.gov.

 

State Partnership Exchange Letters

Arkansas


Delaware


Illinois


Iowa


Michigan


New Hampshire


West Virginia


State-Based Exchange Letters

California


Colorado


Connecticut


District of Columbia

Hawaii


Idaho


Kentucky


Maryland

Massachusetts


Minnesota

Nevada

New Mexico


New York

Oregon


Rhode Island


Utah


Vermont


Washington

Marketplace Plan Management Letters

 

Kansas

Maine

Montana

Nebraska

Ohio

South Dakota

Virginia


Letters from 2010, 2011, and 2012 Related to the Implementation of the Affordable Care Act