Yolanda Madrid of Miami (left) talks with navigator Daniela Campos while signing up for health insurance under the Affordable Care Act in January. Lynne Sladky/AP hide caption

itoggle caption Lynne Sladky/AP

Yuvania Maldonado, a counselor for President Obama's health care law, speaks with Chicago taxi driver Mohammad Chaudri at a city office where taxi drivers go to renew their license. M. Spencer Green/AP hide caption

itoggle caption M. Spencer Green/AP

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

itoggle caption Roel Smart/iStockphoto

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

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