Fourteen states now allow health coverage through state farm bureaus, according to KFF Health News. The plans are marketed as a less expensive alternative to Affordable Care Act marketplace coverage. The article says they are not insurance.

The report says these offerings share many features with ACA plans, but they are generally not subject to federal or state health insurance requirements. That means the coverage can differ in ways that matter to consumers. The story frames them as an option for people seeking lower prices, with trade-offs.