The Supreme Court is expected to rule on King v. Burwell in June. At issue is whether the Affordable Care Act as written only allows for federal subsidies to go to enrollees in states that operate their own exchanges. Right now, 34 states rely on the federal government to operate the exchanges, meaning a significant amount of subsidies are on the line.
If the Supreme Court strikes down the federal subsidies, some Governors and State Legislatures may rush to set up an exchange in order to retain them. Before making any decisions, however, they should be well aware of some of the miserable conditions state exchanges are currently imposing on officials.
Here is a brief summary of some of those states.