Seven states have already started working towards adopting a plan on the exchanges. They are Colorado, Massachusetts, Minnesota, Nevada, New Jersey, New York, and Pennsylvania. They are reportedly making substantial progress.
However, Associated Press has said that there is uneven progress among the states. In Kentucky and Tennessee, states that were announced today, lawmakers and officials are still not clear about the stand they will take. In Arkansas, officials agree that Washington will have to show them the way forward on setting up a health insurance exchange.
The nation-wide update on the issue is, more than 30 states have already received federal exchange establishment grants, but only 13 of them, and the District of Columbia have actually adopted a plan.