Robert Wood Johnson Foundation  |  October 25, 2019

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Eleven states and the District of Columbia currently operate their own health insurance marketplace eligibility and enrollment websites under the Affordable Care Act (ACA), but that number is slated to grow. Several states are contemplating a transition from the federally-facilitated marketplace (FFM)——to a state-based marketplace (SBM). To assess decision-making regarding the benefits and risks of transitioning to an SBM, researchers reviewed states that have publicly declared intention or interest in transitioning.

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