Some states that have rejected participation in the Patient Protection and Affordable Care Act (PPACA) health insurance exchange program have been quicker to return PPACA exchange development grant money than others.
Officials at the U.S. Government Accountability Office (GAO) has included a state-by-state PPACA exchange grant status table in a report on U.S. Department of Health and Human Services (HHS) 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.
GAO officials found, for example, that only three of the 18 jurisdictions that are developing their own state-based exchanges have returned any grant money to HHS.
The 17 exchange-building states and the District of Columbia have received a total of $3.1 billion in exchange grants.
The states that have returned unused grant money — California, Kentucky and Connecticut — have sent $2.2 million back to HHS.