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State Health Insurance Exchange Status Map

Some states have taken steps to implement health insurance exchanges, while others are attempting to block the healthcare reform law.

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The Patient Protection and Affordable Care Act requires states to implement health insurance exchanges by 2014. 

The majority of states have received establishment grants from the U.S. Department of Health and Human Services. But others, including a few receiving grants, are participating in lawsuits aimed at blocking the legislation.

Governing is tracking each state's implementation of bill, shown in the map below:

Mike Maciag is Data Editor for GOVERNING.