ACA Implementation in States
Click on State for more Information
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
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:
- Why health insurance exchanges work in some states and the role of information technology;
- The politics of implementation, including barriers, problems, and issues in states classified as oppositional, and the effect on consumers and providers;
- Medicaid expansion and alternative models, conditions, politics, operations, and impacts;
- The level and character of competition among the Qualified Health Plans offered on exchanges — and the ways this changes over time;
- The auspices, numbers, types, capability, and effects of the roles played by navigators and enrollment assisters, the federal and state government agencies, private and voluntary sector;
- The shifting economic effects of the ACA on the state level health-insurance industry and the health care delivery system.
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