This map gives an idea where each state stands on setting up a health insurance exchange. The majority of states have taken grants to establish a state based exchange. The states have positions themselves to set up the insurance market.  Some states have taken grants to research a stat based exchange. They are looking at what it would take to run a successful exchange.  Two states have declined setting up a state based exchange. These states could have made the decision based on the eventually cost of exchange is going to have on the state. Two states currently have a state based exchange in operation. Massachusetts & Utah are the only states to have an actual track record of operating a state based exchange. Massachusetts has some of the highest health insurance cost in the country. They have also encountered law suits from different hospitals over reimbursement rates. Utah’s exchange is more of a free market exchange and a blue print to what some state would base a state based exchange off of. Utah has had problems with the exchange being competitive and efficient. They have a much lower group participation rate in the exchange than expected. 

Most state have put on hold any further development of a state based exchange until the supreme court has a ruling on the health care law. Indiana is no different.