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By Richard Cauchi

The U.S. Department of Health and Human Services issued its much anticipated enrollment report, “Initial Enrollment-Related Activity in the Affordable Care Act Marketplaces,” including individual state figures, on Nov. 13.

healthcare illustrationThe report documents that state-run exchanges have the major share of individuals who have actually chosen and enrolled in a specific commercial plan:  11 of the state-run programs enrolled at least 79,391 individuals (74.7%  of the nation), while the 36 federally facilitated marketplaces counted just 26,794 (25.3%) enrolled as of Nov. 2.  Four other state-run exchanges were listed as enrollment figures “not available.”

Nationally, so far, 502,446 enrollees “are positioned to have health coverage” in 2014.  Of those, 106,185 have selected plans from the state and federal Marketplaces; and 396,281 have been determined or assessed eligible for Medicaid or CHIP).

A 50-state graphic, Health Exchange Enrollment Falls Short of Target, in the Nov. 14 edition of The New York Times, distills the complex statistics in the 28-page HHS report. 

Other highlights in the HHS report:

  • There were 26,876,527 “unique visitors to the state and federal Marketplace websites in the first month of operation, as well as about 3.2 million calls to state and federal call centers.
  • Page 1 notes that Mass. enrolled only 123 people in their first month of exchange operation way back in January 2007; 12 months later 158,000 people had enrolled.

Richard Cauchi is a program director for NCSL’s Denver-based Health Program and co-staffs NCSL’s Task Force on Federal Health Reform Implementation.

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This blog offers updates on the National Conference of State Legislatures' research and training, the latest on federalism and the state legislative institution, and posts about state legislators and legislative staff. The blog is edited by NCSL staff and written primarily by NCSL's experts on public policy and the state legislative institution.

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