State-Level ACA Protection / Improvement Status
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"Blue Leg" of the ACA's 3-Legged Stool (or related)"Red Leg""Green Leg" of the 3-Legged Stool (or related)Medicaid Expansion/BHPOther
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State
Actions
Taken or
Introduced
Guaranteed
Issue
Community
Rating
Essential
Health
Benefits
Minimum
60%
Actuarial
Value
No Annual/
Lifetime
Limits
Maximum
Out of Pocket
Limit
No-Cost
Preventative
Services
Young Adults
stay on
parents plan
until age 26*
3:1
or lower
Age Band
50%
or lower
Smoker
Surcharge
Reinstate
Individual
Mandate
Penalty
Custom
Open
Enrollment
Period
Subsidies
>400%
FPL
Additional
Subsidies
<400% FPL
CSR
Silver Load/
Silver Switch
Full/Partial
ACA
Exchange
ACA's
Medical
Loss
Ratio
State-level
reinsurance
program
Easy
Enrollment
on
Tax Form
Plans Sold
on-exchange
only
State
Contracts
tied to
exchanges
ACA
Basic
Health
Program
ACA
Medicaid
Expansion
Medicaid for
Undocumented
Immigrants
Medicaid
for additional
populations
Mandatory
standard
plans
Petition feds
import drugs
from Canada
Single
Rating
Area?
Merged
Individual/
Small Group
risk pools
Surprise
Billing
Crackdown
Transitional
Plans
Banned?
Short-Term
Plan
Restrictions
Association
Plan
Restrictions
All-Payer
Rating
System
Medicaid
Buy-In/
Public
Option!
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Alabama1Full
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Alaska3FullYesClean
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Arizona2PartialClean
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Arkansas320%PartialWork
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California15Yes0%YesYesYesYesFullYesYesCleanYesYesYesYesYes
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Colorado15YesYesYes25 (Un)15%YesFullYesYesCleanIn ProcessIn ProcessYesYesIn Process
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Connecticut16YesYesYesYes26 (Un)50%YesFullYesIn ProcessCleanYesIn ProcessYesYesYes
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Delaware7YesFullYesCleanYesYesYes
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District Of Columbia
110%YesYesYesYesClean210% FPLYesYesYesYes
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Florida325 (Un/NK)FullYes
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Georgia326 (Un)PartialIn Process
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Hawaii8YesYesYesYesFullCleanYesYes
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Idaho425 (St/Un)FullYesUnclear
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Illinois6Yes26 (Un)PartialCleanYesYes
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Indiana224Clean
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Iowa324 (Un)PartialModified
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Kansas4Partial(Maybe)In ProcessIn Process
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Kentucky†525 (un)40%FullYesClean
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Louisiana10SPECIALPartialSPECIALSPECIALSPECIALSPECIALSPECIAL
5:1; SPECIAL
PartialClean
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Maine13YesYesYesYesYesYesFullIn ProcessYesCleanIn ProcessIn ProcessYes
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Maryland1124 (Un)FullYesYesYes$10M+CleanYesYesYesPartial
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Massachusetts18YesYesYes262:10%YesYesYesPartialYes88%5K+CleanYesYesYesYes
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Michigan5YesYesFullWorkYes
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Minnesota11YesYes25 (Un)YesFullYesYesYesCleanYesYes
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Mississippi0
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Missouri2PartialIn Process
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Montana425 (Un)PartialYesClean
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Nebraska330 (Un)PartialWork
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Nevada10YesYesYes24 (St/Un)FullYesMCO scoreCleanYesYes
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New Hampshire726 (Un)FullIn ProcessWorkYesYesYes
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New Jersey17YesYesYesYesYes0%YesYesPartialIn ProcessYesYesCleanYesYesYesYes
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New Mexico12YesYesYesYes25 (Un)FullIn ProcessCleanYesYesYesIn Process
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New York18YesYesYesYesYes29 (Un)1:10%YesPartialYes82%YesYesCleanYesYesYes
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North Carolina1Partial
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North Dakota522 (Un); 26 (St)FullYesCleanYes
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Ohio328 (Un)FullWork
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Oklahoma2FullIn Process
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Oregon9YesPartialYesYesCleanYesYesYesIn Process
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Pennsylvania530 (Un/NC)FullIn ProcessIn ProcessClean
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Rhode Island19In ProcessIn ProcessIn ProcessIn ProcessIn ProcessIn ProcessIn ProcessIn Process0%YesYesFullYesIn ProcessYesCleanYesYesYes
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South Carolina222 (Un)Full
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South Dakota324 (St)PartialYes
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Tennessee224 (Un)Full
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Texas325 (Un)PartialYes
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Utah426 (Un)FullWorkIn Process
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Vermont19YesYesYesYesYesYes1:10%(sort of)YesFullYesCleanIn ProcessYesYesYesYesYes
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Virginia8YesYesYes25 (St/Un)FullIn ProcessWorkYes
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Washington17YesYesYesYesYesYes25YesIn ProcessFullYesSchoolCleanYesYesYesYes
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West Virginia325 (Un)CleanIn Process
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Wisconsin327FullYes
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Wyoming2FullYes
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Total362161815374436611610234721517115238123774121525314
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BOLD cells = action initiated since Trump took office* Un = Unmarried only; St = Must be full-time student; NK = No kids
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