Health Insurance Exchanges: New Coverage Options for Children and Families

A key feature of the Patient Protection and Affordable Care Act (ACA) is state-based “exchanges.” These new health insurance marketplaces are designed to provide uninsured (and in some cases underinsured) individuals and small businesses with the ability to purchase affordable health insurance coverage for themselves and their employees respectively. States that establish and operate exchanges will do so within federal guidelines, although states will have the flexibility to make a number of distinctive design choices.