Patrick Lamanske, of Champaign, Ill., works with Amanda Ziemnisky (right), of the Champaign Urbana Public Health District, to try to sign up his wife, Ping, for health coverage through the Affordable Care Act on Oct. 1. David Mercer/AP hide caption

itoggle caption David Mercer/AP
Daniel Horowitz for NPR

Alexandra Dixon is one of 350 "navigators" hired to help people sign up for health insurance in Maryland. Jenny Gold for NPR hide caption

itoggle caption Jenny Gold for NPR

Edward Avalos, one of the first certified enrollment specialists in California, is a very busy man. Sarah Varney/Kaiser Health News hide caption

itoggle caption Sarah Varney/Kaiser Health News

Nonprofits are looking to help people sign up for insurance coverage in Florida. iStockphoto.com hide caption

itoggle caption iStockphoto.com

Stephanie Groover of Independence Blue Cross provides information about coverage to commuters in Philadelphia on the opening day of the health insurance exchanges. Matt Rourke/AP hide caption

itoggle caption Matt Rourke/AP

No envelope backs required for this health care calculation. iStockphoto.com hide caption

itoggle caption iStockphoto.com

The audience concentrates on a presentation by Kansas Insurance Commissioner Sandy Praeger's office about the federal health care overhaul at the University of Kansas satellite campus in Overland Park, Kan., earlier this month. John Hanna/AP hide caption

itoggle caption John Hanna/AP

Chicago insurance broker Sean Whaley told The Associated Press earlier this month that his self-employed clients were frustrated that didn't have the information to plan ahead for their families' health care costs in 2014. M. Spencer Green/AP hide caption

itoggle caption M. Spencer Green/AP

Peter Lee, executive director of Covered California, the state agency running the state's new health exchange, announced the plans and prices that will be offered by private insurers on May 23. Rich Pedroncelli/AP hide caption

itoggle caption Rich Pedroncelli/AP

Texas Sen. Ted Cruz leaves the weekly Senate Republican Policy Committee luncheon Tuesday, shortly before beginning a filibuster against Obamacare. Alex Wong/Getty Images hide caption

itoggle caption Alex Wong/Getty Images

Florida Gov. Rick Scott has questioned efforts to use federally funded navigators to help people enroll for insurance through the Affordable Care Act. John Raoux/AP hide caption

itoggle caption John Raoux/AP