From the abstract:
This issue brief examines states’ progress in setting up the state-based health insurance exchanges through which millions of Americans are expected to purchase coverage under The Patient Protection and Affordable Care Act (ACA) beginning in 2014.
The exchanges, a key component of the law, are expected to enable consumers to compare a selection of qualified health insurance options in order to find the plan that best meets their needs and budget. The federal government will provide subsidies to certain low- and moderate-income individuals to make such coverage more affordable.
The brief reviews states’ progress, examines the choices and challenges they face, and summarizes the early trends that have emerged in terms of the governance, structure and financing of the new exchanges. The law requires states to demonstrate sufficient progress towards establishing a “fully operational” exchange by January 2013