State Progress Toward Health Reform Implementation

Slower Moving States Have Much to Gain

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This report examines whether there is a correlation between the progress that states have made toward establishing the health insurance exchanges called for under the ACA and the expected benefits for state residents.

This brief divides the states into three groups based on their progress toward implementing insurance exchanges and then examines the expected benefits to the populations of those groups as a whole. There is considerable variation within each group on a state-by-state basis.

Key Findings

  • Under the ACA the percentage of the population that is uninsured will decrease in all 50 states and the District of Columbia.

  • The 15 states that have made the least progress toward ACA implementation, have a higher baseline uninsurance rate, on average, and would be likely to see the largest declines (i.e., most improvement) in their uninsurance rates and receive the most benefits.

This report was prepared by researched at the Urban Institute as part of the Quick Strike Series.