The Affordable Care Act institutes some national reforms to our nation’s healthcare system, yet also leaves much to the states to regulate themselves–such as health insurance marketplaces where small business owners and individuals can purchase insurance, and whether a state extends its Medicaid program.

Click on your state below to find out more about reforms happening in your neck of the woods and to get more information about your state’s health insurance marketplace. If your state isn’t listed, visit to learn how your small business may be impacted.