Notes: * = States may have decided not to address a particular reform because state law is already consistent with it or because the state has the authority to enforce federal law. For example, Maine, Massachusetts, New Jersey, New York, and Vermont already required insurers to provide coverage to individuals on a guaranteed basis. The exhibit does not take into account such existing laws or authority. ˇ = The state did not pass conforming legislation to implement all or some of the early market reforms but is relying on explicit authority to enforce the early market reforms.
Data Source: Authors’ analysis. For a more detailed description of state implementation of the market reforms, see the Web tools on The Commonwealth Fund’s website.
Source: The Commonwealth Fund: Implementing the Affordable Care Act – The State of the States