With little more than a week before enrollment ends for individual exchange coverage, the number of sign-ups has fallen way behind the pace of previous years, given the shortened enrollment period.
During previous ACA enrollment periods in the past two years, more than 7.2 million people had signed up for coverage when the period was nearly 75% complete, according to an analysis by consulting firm Avalere Health. The Trump administration shortened the period to 45 days from 90 days, and it will end on December 15.
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A spokesman for Health and Human Services says the cuts reflect a decline in participation.
Congress is on a path that appears to be heading toward repealing Obamacare's individual mandate, and health insurers have long warned that repealing the penalty for not having insurance while guaranteeing coverage will lead to spiraling premiums and more uninsured people.
Advocates believe the number would be higher if it weren't for the two failed attempts from Republicans to repeal and replace the ACA.
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