Some states that have rejected participation in the Patient Protection and Affordable Care Act health insurance exchange program have been quicker than others to return PPACA exchange development grant money.

Officials at the U.S. Government Accountability Office have included a state-by-state PPACA exchange grant status table in a report on U.S. Department of Health and Human Services administration of PPACA exchange and premium rate review grant money. GAO officials prepared the report for Republicans on the Senate Health, Education, Labor and Pensions Committee.

HHS offered every state a $1 million exchange planning grant. States could use the money to decide whether to set up an exchange. States that expressed an interest in setting up exchanges could qualify for early innovator grants and two levels of establishment grants.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.