UPS has told workers that it will no longer offer health coverage for spouses who have their own job-based insurance. Above, a UPS driver makes a delivery in North Andover, Mass. Elise Amendola/AP hide caption

itoggle caption Elise Amendola/AP

Insurers get paid more for older people under the Affordable Care Act, even if they're healthy. Tony Ding/AP hide caption

itoggle caption Tony Ding/AP

Laura Breland gets her teeth cleaned by Denise Lopez-Rodriguez at a community health center in Aurora, Colo., in 2012. Dental coverage is available through the Affordable Care Act. John Moore/Getty Images hide caption

itoggle caption John Moore/Getty Images

Tammy Boudreaux (right) with her partner, Laura Perez. Boudreaux is weighing the cost and benefits of purchasing health insurance. Courtesy of Tammy Boudreaux hide caption

itoggle caption Courtesy of Tammy Boudreaux

Health and Human Services Secretary Kathleen Sebelius' shadow appeared behind the lectern as she spoke about the implementation of the federal health law in Detroit in November. Paul Sancya/AP hide caption

itoggle caption Paul Sancya/AP
iStockphoto

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

itoggle caption iStockphoto

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

itoggle caption Mario Tama/Getty Images

Wisconsin Gov. Scott Walker speaks at the Conservative Political Action Conference in March. Pete Marovich/Getty Images hide caption

itoggle caption Pete Marovich/Getty Images

People protest President Obama's "If you like your insurance you can keep it" comment during a presidential visit to Dallas last week. Pablo Martinez Monsivais/AP hide caption

itoggle caption Pablo Martinez Monsivais/AP
Illustration by Katherine Streeter for NPR
iStockphoto.com