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By Richard Cauchi

Health reform insurance enrollment has closed for most coverage in 2014, but many policy decisions remain for states to consider throughout this year.

In the first five months of 2014, state legislative sessions in 45 states and Washington, D.C., have considered more than 1,000 bills and resolutions related to the federal Affordable Care Act.  As of May 20, NCSL reports that 103 of these bills have been signed into law, in 31 states. May is a turning-point for states—about 25 states are still holding regular sessions but by mid-June only a dozen states continue with their regular sessions.

NCSL’s 2014 Health Reform State Database allows policymakers, and other interested parties, to see what state legislatures are up to, now that the Affordable Care Act has been launched nationwide. States retain a good deal of decision-making authority, including some tough choices, particularly in planning for 2015 and beyond. For example, any state can choose to change the way their health exchange or marketplace is managed, and more than a dozen states had bills proposing to do so. Bills in Iowa, Maine and New Jersey proposed to create a state-run exchange, while bills in Colorado, Idaho and Rhode Island sought to reverse the process and move to the federally run model.

NCSL’s bill database includes eight health policy categories of actions. Legislation can be sorted by state and by topics including Exchanges, Medicaid, Outreach, Insurance Reforms, Funding or Opt-outs and Alternatives.

By the Numbers

This NCSL web feature is the most comprehensive state-based source of information on this subject. View bills and resulting laws in your state, or any states

Richard Cauchi is a program director at NCSL responsible for health insurance and financing.

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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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