The Center for Medicare and Medicaid services has announced that four states—Iowa, Michigan, New Hampshire, and West Virginia—have been conditionally approved to partner with the federal government in operating health insurance exchanges, or health insurance marketplaces, which were authorized under the Affordable Care Act. The exchanges open for enrollment in October, 2013 and must be fully operational by January 2014.
To date, 24 states including the District of Columbia have been conditionally approved to partially or fully run their marketplaces, according to HHS. In additional, several other states have suggested their own approaches to contributing toward plan management in their marketplaces in 2014.
Under the Affordable Care Act, consumers in every state will be able to buy insurance from qualified health plans directly through a marketplace and may be eligible for premium tax credits and cost-sharing assistance, according to HHS.