Last Updated
September 13, 2019

Note: The ACA requires most individuals to maintain "minimum essential" health coverage or pay a tax penalty (the individual mandate). Recent changes in federal law, effective in 2019, reduce this tax penalty to $0, but do not repeal the underlying requirement to maintain coverage. This graphic identifies states that require residents to maintain adequate health coverage -- whether or not the state imposes a penalty on individuals who fail to do so -- notwithstanding the elimination of the federal tax penalty.