The end of November brought a flurry of activity for states that have not yet made a decision about whether to have a state-based or federally facilitated exchange. The initial deadline for states to submit their intent to the Department of Health and Human Services was November 16, 2012. On November 14, the Republican Governors Association sent a
letter to President Barack Obama requesting that he postpone the deadline by which states must declare their decision to have a state-based exchange. In response, Secretary Kathleen Sebelius
announced on November 15 that states would have until December 14, 2012, when they would be required to both declare their intent to have a state-based exchange and submit an exchange application. States have until February 15, 2013, to declare intention to operate an exchange in partnership with the federal government.
The extended deadline has created ongoing uncertainty for a few states, but many more have already made their exchange plans public.
Here is the summary of positions of states as of December 4, 2012.
