Some Republican state officials have urged implementation of state-run exchanges to avoid creation of a federally run version.
States must submit exchange blueprints by Nov. 16, 2012, to receive HHS approval or conditional approval of their exchanges by Jan. 1, 2013. States that fail to obtain at least conditional approval will have exchanges established and operated—at least initially—by federal officials, according to HHS regulations.
Colorado is one of 15 states, plus the District of Columbia, to pass laws creating state versions of the exchanges required by the Affordable Care Act, according to the Kaiser Family Foundation. Another three states are planning partnership versions with the federal government. And federal officials will operate the remaining 32 state exchanges if those state governments do not take actions to launch them.
Colorado’s application for a second level one establishment grant places it well short of the states that are most advanced in their exchange planning. HHS has issued more than $1 billion in establishment grants, so far, including many level two grants to states that are further along in the process. The state’s first level one establishment grant was for nearly $18 million.