NUMBER OF UNINSURED: 850,000 state residents are uninsured, or about 13.4 percent.
WHERE THE STATE STANDS: Republican Gov. Mitch Daniels ordered state agencies to build a framework for a possible exchange, but he has not implemented one pending the Supreme Court ruling. Indiana also has pushed to use its health savings account to help cover an estimated 500,000 who will become eligible for Medicaid in 2014 under the federal health care overhaul, but federal officials denied the request in September, saying it was premature.
WHAT HAPPENS NOW: Although Indiana has planned for its own insurance exchange, it still could be forced into the federal one if the court upholds the law. Indiana hasn't enacted a law creating its own exchange and Daniels told the agencies to keep their work in the planning stages. State officials haven't said what they might do to address health coverage if the law is struck down.
NUMBER OF UNINSURED: 1.27 million Michigan residents are uninsured, about 13 percent of the population.
WHERE THE STATE STANDS: The Department of Licensing and Regulatory Affairs has been working to set up a health insurance exchange but has had limited success because House Republicans refuse to let it use $9.8 million in federal planning dollars. Because of looming federal deadlines to have an exchange in place, state officials are planning for a state-run exchange while also talking to federal officials about a possible partnership on a federal exchange where the state handles just some responsibilities, such as customer service.
WHAT HAPPENS NOW: If the health insurance exchange is upheld by the U.S. Supreme Court, state officials hope the House will approve spending the $9.8 million when it returns to session July 19. In the meantime, the state will try to apply for more federal funds so it can get the exchange up and running, whether on its own or with the federal government. If the exchange is struck down, Republican Gov. Rick Snyder, who has previously expressed support for the idea, says he's more likely to focus on wellness initiatives than pursuing a state exchange.