Health Reform Differs Across States: Report

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Seven states, including Connecticut, Hawaii, Maryland, Massachusetts, Minnesota, Oregon and Vermont, have "fully embraced" the three major components of health reform by implementing market reforms, establishing a state-based marketplace and expanding Medicaid, the research team found.

Sixteen states and the District of Columbia have established their own health insurance marketplaces, or exchanges.

"It's very encouraging that nearly all states have taken some steps toward implementing or enforcing the Affordable Care Act," Sara Collins, the Commonwealth Fund's vice president for health insurance, said in a news release from the foundation.

"Already we can see the positive impact of their efforts as millions of people are gaining health insurance coverage through expanded Medicaid and the health insurance marketplaces," she pointed out.

"However," Collins added, "it is concerning that some states have taken only limited action, or none at all, since their low-income and uninsured residents in particular may not be able to fully benefit from the law."

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