California is seen as the shining star among the 13 exchanges, but that may be damning with faint praise, given the shambles some of the states made of the entire Affordable Care rollout. In Oregon, they are deciding whether to give up and go federal or hiring a new contractor to fix the technology. In Massachusetts, they admit there is a lot of work to be done for the next rollout this fall and the governor is busily tempering expectations. California still comes under scrutiny, not because of the system, but because they have found it necessary to narrow the provider networks. They have extended deadlines for enrollment in Washington, and Vermont may get an overhaul. As for Maryland, call an MD.