Health insurance by state
How buying health coverage works in your state.
America First Healthcare is licensed in all 50 states. Every state and the District of Columbia has a guide below: marketplace type, Medicaid expansion, 2027 open enrollment where the exchange has published it, and short-term plan rules where we could verify them, every fact linked to its source. Pick your state, or ask an advisor.
Facts checked 2026-09-17
AL
Health insurance in Alabama
HealthCare.gov marketplace. Medicaid expansion not adopted.
Alabama factsAK
Health insurance in Alaska
HealthCare.gov marketplace. Medicaid expansion adopted.
Alaska factsAZ
Health insurance in Arizona
HealthCare.gov marketplace. Medicaid expansion adopted. Short-term plans limited by state and federal rules.
Arizona factsAR
Health insurance in Arkansas
HealthCare.gov marketplace. Medicaid expansion adopted.
Arkansas factsCA
Health insurance in California
State-based marketplace (Covered California). Medicaid expansion adopted. Short-term plans prohibited.
California factsCO
Health insurance in Colorado
State-based marketplace (Connect for Health Colorado). Medicaid expansion adopted. Short-term plans limited by state and federal rules.
Colorado factsCT
Health insurance in Connecticut
State-based marketplace (Access Health CT). Medicaid expansion adopted.
Connecticut factsDE
Health insurance in Delaware
HealthCare.gov marketplace. Medicaid expansion adopted.
Delaware factsFL
Health insurance in Florida
HealthCare.gov marketplace. Medicaid expansion not adopted. Short-term plans limited by state and federal rules.
Florida factsGA
Health insurance in Georgia
State-based marketplace (Georgia Access). Medicaid expansion not adopted. Short-term plans limited by state and federal rules.
Georgia factsHI
Health insurance in Hawaii
HealthCare.gov marketplace. Medicaid expansion adopted.
Hawaii factsID
Health insurance in Idaho
State-based marketplace (Your Health Idaho). Medicaid expansion adopted.
Idaho factsIL
Health insurance in Illinois
State-based marketplace (Get Covered Illinois). Medicaid expansion adopted.
Illinois factsIN
Health insurance in Indiana
HealthCare.gov marketplace. Medicaid expansion adopted.
Indiana factsIA
Health insurance in Iowa
HealthCare.gov marketplace. Medicaid expansion adopted.
Iowa factsKS
Health insurance in Kansas
HealthCare.gov marketplace. Medicaid expansion not adopted.
Kansas factsKY
Health insurance in Kentucky
State-based marketplace (kynect). Medicaid expansion adopted.
Kentucky factsLA
Health insurance in Louisiana
HealthCare.gov marketplace. Medicaid expansion adopted.
Louisiana factsME
Health insurance in Maine
State-based marketplace (CoverME.gov). Medicaid expansion adopted.
Maine factsMD
Health insurance in Maryland
State-based marketplace (Maryland Health Connection). Medicaid expansion adopted.
Maryland factsMA
Health insurance in Massachusetts
State-based marketplace (Massachusetts Health Connector). Medicaid expansion adopted.
Massachusetts factsMI
Health insurance in Michigan
HealthCare.gov marketplace. Medicaid expansion adopted. Short-term plans limited by state and federal rules.
Michigan factsMN
Health insurance in Minnesota
State-based marketplace (MNsure). Medicaid expansion adopted. Short-term plans limited by state and federal rules.
Minnesota factsMS
Health insurance in Mississippi
HealthCare.gov marketplace. Medicaid expansion not adopted.
Mississippi factsMO
Health insurance in Missouri
HealthCare.gov marketplace. Medicaid expansion adopted. Short-term plans limited by state and federal rules.
Missouri factsMT
Health insurance in Montana
HealthCare.gov marketplace. Medicaid expansion adopted.
Montana factsNE
Health insurance in Nebraska
HealthCare.gov marketplace. Medicaid expansion adopted.
Nebraska factsNV
Health insurance in Nevada
State-based marketplace (Nevada Health Link). Medicaid expansion adopted.
Nevada factsNH
Health insurance in New Hampshire
HealthCare.gov marketplace. Medicaid expansion adopted.
New Hampshire factsNJ
Health insurance in New Jersey
State-based marketplace (Get Covered NJ). Medicaid expansion adopted.
New Jersey factsNM
Health insurance in New Mexico
State-based marketplace (beWellnm). Medicaid expansion adopted.
New Mexico factsNY
Health insurance in New York
State-based marketplace (NY State of Health). Medicaid expansion adopted. Short-term plans prohibited.
New York factsNC
Health insurance in North Carolina
HealthCare.gov marketplace. Medicaid expansion adopted. Short-term plans limited by state and federal rules.
North Carolina factsND
Health insurance in North Dakota
HealthCare.gov marketplace. Medicaid expansion adopted. Short-term plans limited by state and federal rules.
North Dakota factsOH
Health insurance in Ohio
HealthCare.gov marketplace. Medicaid expansion adopted.
Ohio factsOK
Health insurance in Oklahoma
HealthCare.gov marketplace. Medicaid expansion adopted.
Oklahoma factsOR
Health insurance in Oregon
State-based marketplace (Oregon Health Insurance Marketplace). Medicaid expansion adopted. Short-term plans limited by state and federal rules.
Oregon factsPA
Health insurance in Pennsylvania
State-based marketplace (Pennie). Medicaid expansion adopted. Short-term plans limited by state and federal rules.
Pennsylvania factsRI
Health insurance in Rhode Island
State-based marketplace (HealthSource RI). Medicaid expansion adopted.
Rhode Island factsSC
Health insurance in South Carolina
HealthCare.gov marketplace. Medicaid expansion not adopted.
South Carolina factsSD
Health insurance in South Dakota
HealthCare.gov marketplace. Medicaid expansion adopted. Short-term plans limited by state and federal rules.
South Dakota factsTN
Health insurance in Tennessee
HealthCare.gov marketplace. Medicaid expansion not adopted. Short-term plans limited by state and federal rules.
Tennessee factsTX
Health insurance in Texas
HealthCare.gov marketplace. Medicaid expansion not adopted. Short-term plans limited by state and federal rules.
Texas factsUT
Health insurance in Utah
HealthCare.gov marketplace. Medicaid expansion adopted.
Utah factsVT
Health insurance in Vermont
State-based marketplace (Vermont Health Connect). Medicaid expansion adopted.
Vermont factsVA
Health insurance in Virginia
State-based marketplace (Virginia's Insurance Marketplace). Medicaid expansion adopted.
Virginia factsWA
Health insurance in Washington
State-based marketplace (Washington Healthplanfinder). Medicaid expansion adopted. Short-term plans limited by state and federal rules.
Washington factsDC
Health insurance in Washington, D.C.
State-based marketplace (DC Health Link). Medicaid expansion adopted.
Washington, D.C. factsWV
Health insurance in West Virginia
HealthCare.gov marketplace. Medicaid expansion adopted.
West Virginia factsWI
Health insurance in Wisconsin
HealthCare.gov marketplace. Medicaid expansion not adopted.
Wisconsin factsWY
Health insurance in Wyoming
HealthCare.gov marketplace. Medicaid expansion not adopted.
Wyoming facts
A fact missing from your state's page?
Each page shows only what we could verify from a primary source, so some states do not yet list short-term plan rules or the insurance department. For anything not shown, contact us and an advisor will tell you how coverage works where you live. Verify any agent's license through the NIPR lookup.
Educational only. Not medical, legal, or personalized insurance advice. Plans are offered and underwritten by third-party carriers.
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