The ACA requires that these exchanges offer health insurance options to members of Congress, other individuals, and businesses with less than 100 employees in 2014. Modern Healthcare reports that
Joel Ario, who serves as the director of the office of health insurance exchanges at the Office for Consumer Information and Insurance Oversight, said there are two main priorities this year for states to establish exchanges. The first is to adopt some form of governance structure, which he said 10 to 12 states have done already. "A second important step early on is the development of the IT infrastructure toward the exchanges," Ario said. "Thirty states have started that process and are moving forward at varying levels.