Small employers can still enroll in Affordable Care Act coverage through insurers or brokers, but not through the online exchanges. iStockphoto hide caption

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Democratic Sens. Charles Schumer, Harry Reid and Richard Durbin (from left) speak after Senate Democrats voted to take the bite out of the filibuster. J. Scott Applewhite/AP hide caption

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Rep. Darrell Issa, R-Calif. (right) reacts to Rep. Gerry Connolly, D-Va., at a May hearing. The two are co-authors of a federal IT reform bill. J. Scott Applewhite/AP hide caption

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Senate Majority Leader Harry Reid (left) with Democratic Sen. Jeff Merkley on Capitol Hill in July. Both senators favor curtailing the minority's right to filibuster judicial nominees. Jose Luis Magana/Reuters/Landov hide caption

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Low-income adults formerly had few options for free health care. Leah Sessor had her blood pressure taken on April 14, 2012, during a free clinic at a racetrack in Bristol, Tenn. Mario Tama/Getty Images hide caption

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A slide from McKinsey & Co.'s outside review of, in the spring. House Energy and Commerce Committee hide caption

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John F. Kennedy and his wife, Jacqueline Kennedy, campaign in New York in 1960. AP hide caption

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President Obama makes a statement in the Roosevelt Room of the White House on Friday, before the start of a meeting with representatives of health insurance companies. The president said he brought health insurance CEOs to the White House to brainstorm ways to make sure Americans know what their coverage options are under the law. Evan Vucci/AP hide caption

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