States creating state exchanges must submit a blueprint for development.
States must decide if they want to pursue a partnership with the federal government.
Exchanges in all states must be fully operational.
States must be able to fully finance the operation of their exchanges.
Updated Tuesday, Febuary 19, 2013, 10am ET
A state exchange is developed and operated completely by the state itself. A state can apply for federal grants to fund the development and operation of any state-based or partnership exchange until Jan. 1, 2015.
A state may choose to partner with the federal government to create an exchange, choosing to operate only certain services of the exchange. If a state does not reach a decision on its exchange before Dec. 14, 2012, it will be limited to a partnership or a federally run exchange.
If a state does not wish or is unable to create its own exchange, the federal government will create one for that state. If a state does not reach a decision on its exchange before Dec. 14, 2012, it will be limited to either a federally run exchange or a partnership.
Many states are exploring options or have not yet decided if they will create an exchange.