It will be a tale of differences as enrollment opens
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That's not true everywhere.
A dozen states operate their own health insurance marketplaces, maintaining control over advertising and the help they can offer consumers. That will create a striking difference when open enrollment begins Wednesday between those states and the others that rely on the federal marketplace, essentially creating a tale of two countries.
For the individual health insurance market in much of the country, the Trump administration has slashed spending on advertising by 90 percent and drastically reduced budgets for the groups that help consumers choose a plan.
It cut the open enrollment period in half, to six weeks. Shortening the sign-up window further, the federal government will shut down its online marketplace, healthcare.gov, for 12 hours of maintenance nearly every Sunday during open enrollment.
The 12 states with their own exchanges are free to chart their own course and make it easier on consumers.
Nine have extended open enrollment beyond
They also can make their own decisions about spending because their budgets are free from
For many of these states, 2018 looks like a payoff for the political risks and costs they assumed when they decided to set up their own exchanges.
Obamacare enrollment starts Wednesday
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