Almost 11.8M enroll in Obamacare in 2018

Credit Google Street View

Credit Google Street View

Enrollment declined by 5.3 percent in the 34 states where residents signed up for ACA coverage through the federal exchange, where enrollment ended on December 15. A central pillar of the health reform law, the mandate requires almost all Americans to get coverage or pay a penalty.

States which have their own marketplaces fared better. The standouts included Rhode Island, which saw a 12.1% increase, and Washington, which had 7.7% more people pick plans.

Many states carried by Trump in 2016 also saw respectable sign-ups, including Florida, Texas, and Georgia.

New York, Washington, Colorado, Rhode Island and CT were among the state-run markets that increased their enrollment over last year's numbers.

"Put simply, marketing matters", Lee said.

"In the end, insurance coverage and enrollment [are] a local issue and states all have different priorities and goals", said Heather Korbulic, executive director of Nevada Health Link.

With the Trump administration taking steps to undercut these marketplaces and congressional Republicans having spent much of a year ago trying unsuccessfully to dismantle large parts of the ACA, leaders of state insurance exchanges and other health-policy experts said that enrollment was surprisingly resilient.

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She argued that the Fed could leave its key policy rate near zero for far longer than previously thought prudent. The Fed's move is the latest and most serious regulatory action against the bank over the past year and a half.

"Obamacare is finished. It's dead". We got a look at a report compiling the year-end totals on Wednesday, and overall, it appears that the changes didn't impact the 2017 enrollment period in the drastic way that many opponents of Trump's order feared.

Leaders from those states said it also helped that an increase in federal subsidies lowered costs for many customers and that heightened news coverage of the ACA helped boost awareness. Arizona relied on the federal government to operate its marketplace.

Officially known as the Affordable Care Act, the health law offers subsidized private insurance to people who don't have coverage on the job, through HealthCare.gov and state-run insurance markets.

They have been buffeted for much of the a year ago by uncertainty over their future, with insurers in some areas raising rates steeply or exiting markets altogether.

The law offers subsidies to Americans making between 100 percent and 400 percent of the federal poverty line, or between $12,060 and $48,240 a year.

But continued uncertainty about the markets and the disappearance in 2019 of a penalty for not having coverage could push up rates for consumers who don't qualify for aid.

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