A new report from the Kaiser Family Foundation examines the state of efforts in the nation’s states to establish health insurance exchanges under the Affordable Care Act.

States had to notify the federal government by Dec. 14, 2012, if they were going to build and run an exchange. They have until Feb. 15, 2013, to decide if they will run an exchange in partnership with the feds (with less flexibility in shaping the components of benefit plans offered), or default to a federally operated exchange.

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