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The Nelson A. Rockefeller Institute of Government

Sunday, February 19, 2017
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ACA Project

ACA Implementation in States


Washington report Oregon report California report Arizona report New Mexico report Texas report Idaho report Montana Wyoming Nevada report Utah Colorado report North Dakota South Dakota Nebraska Kansas Oklahoma Minnesota Iowa Missouri Arkansas Louisiana Wisconsin Illinois Alaska Indiana Kentucky report Michigan Tennessee Mississippi Alabama report Ohio Pennsylvania New York Hawaii Georgia Florida report South Carolina report North Carolina Virginia West Virginia report Vermont New Hampshire Maine Connecticut report Massachusetts Rhode Island New Jersey Delaware Maryland report

Click on State for more Information


Project Directors:

This field research network of indigenous state experts on health policy and public management includes teams in 40 states. The Network was established to analyze the implementation of the ACA and provide close-observation findings, now and for years to come. It is coordinated by the Rockefeller Institute of Government, the Brookings Institution, and the Fels Institute of Government at the University of Pennsylvania.

Baseline Studies



In 2014 and 2015, the Network has been producing baseline reports that focus on three questions: Who governs state health reform initiatives and activities? What new federal-state and inter-agency relationships have developed under the ACA? And how have states put the principal coverage-related policies into operation, and with what effects? To access completed reports, please click on the states in the map below.

In addition to the state reports, two region-wide reports are available. John Stuart Hall of Arizona State University described and compared state implementation in the West. See his Western Overview Report. Christopher Plein of West Virginia University wrote the overview report on states in the South (Southern Overview Report).

Longitudinal and Cross-Cutting Analyses



This research process is longitudinal. Field researchers and health experts at Brookings, Fels, and Rockefeller are collaborating on crosscutting/multi-state research analyses that include:
Along with regular and timely health policy reporting and analysis, Consortium research will contribute to the literature on health policy and politics, American government, federalism, and public management in collaboration with other researchers and research organizations.

Project Information Documents



Programs and Conferences



Brookings Institution, February 9, 2017: What Worked and What Didn’t Work in Obamacare Insurance Markets?
Five-State Summary Report                                        California                                        Florida
Michigan                                                                        North Carolina                               Texas

Rockefeller Institute of Government, June 6, 2016: New York State Affordable Care Act Presentation

National Press Club, August 25, 2014: Implementing the Affordable Care Act in Southern States. C-Span Video Coverage here.

Fels Institute of Government, May 1, 2014: Making the ACA Work: A View from the States. Video of full conference here.