The Patient Protection and Affordable Care Act, known as Obamacare, sent U.S. states scrambling to build health insurance exchanges for individuals to purchase and manage new insurance plans. Working under time constraints, many states implemented systems based on technologies they already had in place. Such was the case with one state government agency who built their exchange using the IBM DB2 database. This East Coast state experienced a series of complications with the system, including problems with data management on the platform. In designing a massive fix, the state’s health exchange IT team decided to adopt an open source approach and migrate their entire infrastructure stack.