State Health Sites Send Private Data to Big Tech: States of Play

May 4, 2026, 6:31 PM UTC

State Health Sites Sharing Data

Almost all of the 20 state-run health insurance exchanges in the US have advertising trackers that transmit user activity to big tech companies,Tanaz Meghjani, Dhruv Mehrotra and Surya Mattu report. In some cases, the sites were sending more data than state officials realized.

  • The Washington state exchange sent applicants’ sex and citizenship responses to TikTok, as well as some race data that the tracker failed to filter out.
  • Virginia’s tool to estimate premiums sent ZIP codes to Facebook and Instagram parent company Meta.
  • New York’s marketplace shared pages applicants visited during enrollment ...

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