Kevin Counihan, CEO of Connecticut's health insurance exchange, hopes to be able to market their expertise. Jeff Cohen/NPR hide caption

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Governor Deval Patrick of Massachusetts signed the law enacting the state's latest phase of health care on August 6, 2012. Eric Haynes/Governor Deval Patrick's Office hide caption

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Filling out the forms is part of the ritual of going to the doctor. But with the Affordable Care Act, it's more complicated. iStockphoto hide caption

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Oregon's road to health coverage continues to be bumpy; the website for the state's health insurance marketplace still isn't fully open to consumers. ilbusca/iStockphoto hide caption

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Some states are trying to make health care prices available to the public by collecting receipts from those who pay the bills: Medicare, Medicaid and private insurers. Some states' efforts to make these prices available are in jeopardy. iStockphoto hide caption

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House Minority Leader Nancy Pelosi, D-Calif., at the House Democrats' recent retreat where much of the discussion was about countering the GOP's messaging against the Affordable Care Act. BRENDAN SMIALOWSKI/AFP/Getty Images hide caption

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Daniel Horowitz for NPR

Still waiting for job-linked health insurance? Check the size of your company. Vasilyev/iStockphoto hide caption

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A new electronic system will attempt to cut costs at the Planned Parenthood in Concord. Courtesy of Planned Parenthood Shasta Pacific hide caption

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One hospital is offering health insurance plans on the California's exchange specifically for the Chinese community. Sarah Varney/NPR hide caption

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Michael Sawyer, the latest doctor in his family, holds a portrait of his grandfather Dr. Ken Sawyer, while his father Robert, a surgeon, looks on. Barry Gutierrez for NPR hide caption

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There's confusion about whether drugmakers can provide financial assistance to patients who buy health insurance on the exchanges. Roel Smart/iStockphoto hide caption

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Health insurance premiums in Aspen, Colo., are among the highest in the country. Andrew Wilz/AP hide caption

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