The Commonwealth Fund  |  April 5, 2013

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As of October 2012, only 11 states and the District of Columbia had moved forward to implement at least one of the Affordable Care Act’s 2014 private insurance market reforms. The other 39 states had not yet taken action, potentially limiting their ability to fully enforce the reforms. Without new legislation, regulators in at least 22 states reported that they would be limited in their ability to use all of the tools they need to protect consumers under the Affordable Care Act. These findings were reported in a recent analysis published in February and also presented in a webinar held in mid-March.

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