What does it mean for a Marketplace to be "Federally-facilitated"?

A Marketplace being "Federally-facilitated" specifically means that it is operated by the federal government. This designation indicates that when states opt not to create their own health insurance exchanges, the federal government steps in to manage and provide an exchange for residents of those states. This setup was established under the Affordable Care Act to ensure that all Americans, regardless of their state's decision, have access to health insurance options.

The other options reflect different arrangements regarding health insurance marketplaces. The assertion that state governments operate the Marketplace contradicts the definition of a federally-facilitated Marketplace. Likewise, the idea of both state and federal oversight applies to state-based exchanges or partnerships, rather than one run solely by the federal government. Finally, the option mentioning only private insurers fails to recognize that federally-facilitated marketplaces can include public options and federal regulation, ensuring a broader scope of coverage rather than exclusively private plans.