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Philadelphia demonstrators protested earlier moves by Republicans to repeal the Affordable Care Act last February. If the ACA is indeed axed as unconstitutional, health policy analysts say, millions of people could lose health coverage, and many aspects of Medicare and Medicaid would change dramatically. Bastiaan Slabbers/NurPhoto via Getty Images hide caption

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Bastiaan Slabbers/NurPhoto via Getty Images

Sarah Witter fractured two bones in her lower left leg while skiing in Vermont last February. She had two operations to repair the damage. The second surgery was needed to replace a metal plate that broke after it was implanted. Matt Baldelli for KHN hide caption

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Matt Baldelli for KHN

Bill Of The Month: $43,208 For Repeat Surgery To Replace Broken Medical Device

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People who earn up to 400 percent of the poverty level (about $48,500 for an individual and $100,400 for a family of four in 2019) are eligible for subsidies of the cost of their marketplace health plans. But many of the 5 million who aren't eligible feel crushed by rising costs. Stuart Kinlough/Ikon Images/Getty Images hide caption

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Stuart Kinlough/Ikon Images/Getty Images

The deadline for signing up for individual health insurance coverage on HealthCare.gov ends Saturday, Dec. 15. Patrick Sison/AP hide caption

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Patrick Sison/AP

Affordable Care Act Insurance Sign-Ups Fall Slightly For 2019

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Isela was denied life insurance because her medication list showed a prescription for the opioid-reversal drug naloxone. The Boston Medical Center nurse says she wants to have the drug on hand so she can save others. Jesse Costa/WBUR hide caption

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Jesse Costa/WBUR

Nurse Denied Life Insurance Because She Carries Naloxone

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A business decision by UnitedHealthcare, the nation's largest health insurance carrier, to drop a popular fitness benefit has upset many people covered by the company's Medicare plans. Mladen Zivkovic/Getty Images hide caption

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Mladen Zivkovic/Getty Images

The Trump administration said Thursday it wants states to innovate in ways that could produce more lower-cost health insurance options — even if those alternatives do not provide the same level of financial or medical coverage as an ACA plan. Getty Images hide caption

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Getty Images

The number of children in the United States without health insurance jumped to 3.9 million in 2017 from about 3.6 million the year before, according to census data. Katrina Wittkamp/Getty Images hide caption

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Katrina Wittkamp/Getty Images

Affordable Care Act navigator Nini Hadwen (right) helped Jorge Hernandez (left) and Marta Aguirre find a plan on the health insurance exchange in Miami in 2013. Today, with fewer navigators, much of that counseling is done by phone instead of in person. Joe Raedle/Getty Images hide caption

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Joe Raedle/Getty Images

Shereese Hickson was diagnosed with multiple sclerosis in 2012 and is unable to work. She supports herself and her son, Isaiah, on $770 a month. Shane Wynn for KHN hide caption

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Shane Wynn for KHN

Chronically Ill, Traumatically Billed: $123,019 For 2 Multiple Sclerosis Treatments

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More than half of all counties in the 39 states that rely on the federal HealthCare.gov exchange for ACA health insurance are experiencing a 10 percent price decrease, on average, for their cheapest plan for 2019. Patrick Sison/AP hide caption

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Patrick Sison/AP

Many Who Buy ACA Health Plans For 2019 Find Lower Prices And More Choice

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Klute-Nelson takes a break with her dogs Kona (left) and Max. Morgan Walker for NPR hide caption

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Morgan Walker for NPR

As Insurers Offer Discounts For Fitness Trackers, Wearers Should Step With Caution

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Amanda Cahill, a supporter of Montana's tobacco tax measure, I-185, at a press conference near the state capitol last August. Tobacco firms have spent $17 million in opposition to the initiative, compared to an $8 million campaign by those in favor of it. Corin Cates-Carney/Montana Public Radio hide caption

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Corin Cates-Carney/Montana Public Radio

Big Tobacco Spends Big To Block A Tax And Medicaid Expansion In Montana

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Open enrollment for 2019 health plans begins Nov. 1 on HealthCare.gov and on most state insurance exchanges. Healthcare.gov via Screenshot by NPR hide caption

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Healthcare.gov via Screenshot by NPR

Looking For ACA Health Insurance For 2019? Here's What To Expect

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Organizers with Idahoans for Healthcare have been driving this green vehicle around the state to campaign for Medicaid expansion. Phil Galewitz/Kaiser Health News hide caption

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Phil Galewitz/Kaiser Health News

As Sen. Joe Manchin, a Democrat from West Virginia, campaigns for re-election, he has warned that 800,000 West Virginians with pre-existing conditions could lose health coverage. Drew Angerer/Getty Images hide caption

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Drew Angerer/Getty Images

Marilyn Bartlett spent two years running Montana's employee health plan. She made better deals with hospitals and drug benefits managers and saved the plan from bankruptcy. Mike Albans for NPR hide caption

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Mike Albans for NPR

A Tough Negotiator Proves Employers Can Bargain Down Health Care Prices

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Because of a recent court decision, the size of the financial incentive your employer offers you in hopes of motivating you to lower your cholesterol or lose weight may soon shrink. Molly Cranna/Refinery29/Getty Images hide caption

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Molly Cranna/Refinery29/Getty Images

Health insurers who offer Medicare Advantage plans have permission to soon require patients to try less expensive alternatives to some before receiving pricier drugs. Witthaya Prasongsin/Getty Images hide caption

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Witthaya Prasongsin/Getty Images