Seventeen states and the District of Columbia have already declared they will operate their insurance exchange on their own, and Utah is expected to do the same. However, the remaining 32 states have said the federal government will manage it, there will be a state-federal partnership or they are likely to choose one of those options, according to Avalere Health.
The states that have committed to running their own exchange will enroll an estimated 2.8 million people in exchange health plans. Roughly 8.2 million people will be able to buy health coverage through the exchanges when they go live Jan. 1, 2014.
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