Health and Human Services Secretary Kathleen Sebelius said Thursday that eight states have received new grants totaling $765 million to help establish exchanges as part of the Patient Protection and Affordable Care Act.

California, Hawaii, Iowa and New York have been awarded "level one" exchange establishment grants, which provide one year of funding to states that have begun the process of building their exchange. Connecticut, Maryland, Nevada and Vermont were awarded "level two" establishment grants, which are provided to states that are further along in building their exchange and offers funding over multiple years.

The HHS says 34 states and Washington D.C. have now received establishment grants.

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