Covered California Certified Enroller Practice Exam

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Which state was the first to establish a health insurance marketplace following the ACA's passage?

  1. New York

  2. Texas

  3. California

  4. Florida

The correct answer is: California

California was the first state to establish a health insurance marketplace after the Affordable Care Act (ACA) was passed in 2010. The state quickly recognized the need for a structured platform where residents could easily compare and purchase health insurance plans. This initiative led to the creation of Covered California in October 2013, well ahead of many other states that followed suit in creating their own exchanges. Covered California was designed not just to provide insurance but also to enhance access to affordable healthcare options, aiming to increase coverage among Californians. The state's bold move helped set a precedent and provided a model that other states later used as they developed their own marketplaces. By establishing this health insurance exchange early, California took a significant leadership role in the national implementation of the ACA.