“Most states running their own exchanges under the law have yet to complete work on some critical exchange functionality, such as verifying eligibility for subsidies, paying insurers, and reporting data to the Internal Revenue Service (IRS).
The report, still in draft form and dated July 2015, says that several states “lacked comprehensive and detailed information to show how their marketplace grant funding had been used for IT projects supporting their marketplaces” between September 2010 and March 2015. Neither select states examined by the GAO nor the federal government tracked how much of $2.78 billion in Medicaid matching funds were used to fund exchange operations or development. (Under the law, states must connect Medicaid programs, which are run by states and jointly funded by states and the federal government via matching funds, to a federal data hub.)….”