But is this simply a spell of bad luck, or is it a symptom of larger leadership issues? The success of other state health benefit exchanges offers a clue. In the time it has taken for Maryland's exchange to enroll about 5,000 residents, 40,000 Kentuckians, 48,000 New Yorkers, and 55,000 Washingtonians have enrolled through their respective state exchange websites. And Washington was able to do it with nearby IT contractors. Despite our core strength in IT, Maryland's online exchange was outsourced to North Dakota, and top state officials now concede the contractor has come up short.