Which public employers have adopted, considered, or left an ICHRA? Sam Melamed and the research team at NCD have compiled a catalog of what the public record shows through November 3, 2026, and have shared it with HRA Council.

The catalog documents 93 public employers in 28 states, including cities, counties, school districts, special districts, public hospitals, charter schools, and libraries. Every entry points to a dated source document, such as a vote, a study, an RFP, or a benefit already running. Of the 94 records, 42 had an ICHRA in place when last documented and 21 were considering one with no decision found. The catalog also covers employers that renewed group coverage or ended an ICHRA.

Download the resources

• Summary deck (PowerPoint): – Findings by employer type and state, who is covered, renewal triggers, reported savings, and administrators named.
• Companion workbook (Excel): – All 94 records with status, dates, broker or platform, and source links, plus excluded records, open leads, and the search log.