Utah's exchange enrollment remains stable. Seven insurers will participate on the Utah exchange in 2022: BridgeSpan Health, Cigna, Molina, Regence, SelectHealth, University of Utah Health Plans, and newcomer Bright Health. Utah implemented a full Medicaid expansion starting January 2020, following a CMS setback of its Senate Bill 96. Utah's managed Medicaid ACO program is in full swing. Self-insured plans are responsible for most of the off-exchange growth in overall commercial enrollment, though there was a slight increase in fully-insured plans enrollment in the last cycle.