State Legislation and Actions

Health Reform: State Legislation and Actions

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2014 ACA Database Expands: NCSL has updated latest state legislative actions related to health reforms. The online database now provides one-click access to 1,194 bills and resolutions. Sort by state or topics, including Exchanges, Medicaid, Insurance Reforms, Funding or Opt-outs. So far, 235 measures have been signed into law or adopted in 43 states and D.C.. 





State governments already have made many decisions about the Affordable Care Act and are responding to federal implementation deadlines.  NCSL has numerous resources — reports, briefs, legislative tracking and summaries, multimedia and meeting sessions — all aimed at helping state legislatures and policymakers learn about state actions and options.

State Actions to Address Health Insurance Exchanges - updated Mar. 2, 2015

Read this NCSL report for 2015 information on state actions and responses to implement exchanges as outlined in the Affordable Care Act. The second year open enrollment period for private insurance plans offered through state and federal marketplaces ran for three months, Nov. 15 to Feb. 15, 2015. Latest results show 11.4 million enrolled. Individuals with qualifying events such as a marriage, job change, birth or move out of state still may enroll between now and November 2015. A new NCSL report has 2015 legislation; others provide 50-state enrollment, health plans and pricing, plus legislative history.  A 60-page supplement details each state.


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  • Health Insurance State Flexibility

    This April 24 webinar will provide an insightful and timely look at state options for health insurance. Several national experts will share 2015 perspectives on what consumers, state policymakers, regulators and industry professionals face.

  • State Actions to Address Health Insurance Exchanges

    Read this NCSL report for March 2015 information on state actions and responses to implement exchanges as outlined in the Affordable Care Act. This material includes links to activities, with 2015 deadlines and enrollment figures by state. It also includes state information about insurers and premiums.

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