Meet the leader of every state's ACA exchange

There are 33 states that are using the federal ACA exchange as their health insurance marketplace for 2023, while 17 states and Washington, D.C. administer their own exchanges.

Virginia also intends to launch its own exchange in fall 2023.

Meet the leaders of every state's ACA exchange:

  1. Covered California
    Jessica Altman has been CEO since Feb. 15, 2022. She was previously Pennsylvania's insurance commissioner.

  2. Connect for Health Colorado
    Kevin Patterson has been CEO since 2015. He was previously chief administrative officer and interim chief of staff to Gov. John Hickenlooper.

  3. Access Health Connecticut
    James Michel has been CEO since 2018 and first joined the organization in 2013. He previously held leadership positions at Aetna.

  4. DC Health Link
    Mila Kofman has been executive director of the DC Health Benefit Exchange Authority, which oversees Health Link, since 2012. She previously was Maine's superintendent of insurance.

  5. Your Health Idaho
    Pat Kelly has been CEO and executive director since 2014. Previously, he was the CEO of a children's gymnastics center in Eagle, Idaho.

  6. kynect (Kentucky)
    Michael Lerman has been executive director since 2016 and has been the owner and CEO of his own real estate firm since 2000.

  7. CoverME.gov (Maine)
    Megan Garratt-Reed has been director since 2021 and previously held leadership positions at CMS and congressional offices.

  8. Maryland Health Connection
    Michele Eberle has been executive director since 2017 and has been with the organization since 2013. She previously held the same position at Maryland Health Insurance Plan.

  9. Massachusetts Health Connector
    Louis Gutierrez has been executive director since 2015. He was previously a principal at Exeter Group and held several leadership positions with the state.

  10. MNsure (Minnesota)
    Nate Clark has been CEO since 2018 and has been with the organization since 2015. He previously held leadership positions at Thomson Reuters.

  11. Nevada Health Link
    Ryan High has been executive director since 2022. Previously he held leadership positions with the state of Nevada and the City of Reno.

  12. Get Covered New Jersey
    Devon Trolley has been director since 2020. She previously held several leadership positions at CMS.

  13. beWellnm (New Mexico)
    Bruce Gilbert has been CEO since November 2022. He was previously executive director of the Nevada exchange and executive director and benefits administrator for the state of Ohio.

  14. New York State of Health
    Danielle Holahan has been executive director since 2021. She was previously co-director at United Hospital Fund's Health Insurance Project since 1999.

  15. Pennie (Pennsylvania)
    Zachary Sherman has been executive director since 2019. He was previously director of Rhode Island's exchange.

  16. Health Source Rhode Island
    Lindsay Lang has been director since 2019 and has been with the organization since 2013. She was previously the health policy director for former Lt. Gov. Elizabeth Roberts.

  17. Vermont Health Connect
    David Martini has been director of operations since 2014. He was previously the state's director of health insurance policy.

  18. Washington Healthplanfinder
    Jim Crawford has been interim CEO since April 2022 and is also CFO. The exchange board is seeking a permanent CEO.


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