Health Care Reform: Status of State Exchange Decision by Arkansas Business Staff Posted 3/4/2013 12:00 am Updated 4 years ago Each of the 50 American states are currently in one of three statuses regarding its involvement with the federal health care reform. Want the Full Article? Get Unlimited Archive Access for $19.95 per Year Readers must pay to access stories older than 15 days. Purchase Now Already have archive access? Login to view this article.