After exploring plans to create its own health insurance exchange, Delaware will stick with the federal partnership that has been managing its group of health plans offered through the Patient Protection and Affordable Care Act. 

The majority of states—most run by Republican governors—passed entirely on the opportunity to create their own insurance exchanges, forfeiting that responsibility to the federal government. Another group, mostly run by Democrats, set up their own exchanges. A handful of states, however, including Delaware, pursued a third, hybrid model in which the exchange is structured by the federal government but largely run by state officials. 

The First State was pondering a switch to a state-based model in the midst of a lawsuit against the PPACA that sought to end federal subsidies for exchanges set up by the federal government. Those concerns were largely assuaged in June after the Supreme Court ruled in King v. Burwell to uphold the law in its current form.