Status of States’ Positions on HEXs/SHOPs and Medicaid

Under the Affordable Care Act, individuals will be able to buy health insurance ­policies through individual health exchanges (HEXs). States may create their own HEXs, and may create SHOPs (Small Business Health Options Program). This chart summarizes the states’ current positions on HEXs, SHOPs and whether they will expand their Medicaid rolls.