Customers walk out of Street Boutique, parked in Shirlington Village, Va. Street Boutique is a pop-up truck that's similar to the many food trucks in the area, except it sells clothes and jewelry. James Clark/NPR hide caption

Paul Siperke, co-owner of Cleveland brewery Fat Head's, plans to keep providing health insurance to his employees. But he's irked by the continual price fluctuations in the group's policy — this year caused partly by the Affordable Care Act. Milan Jovanovic /WCPN hide caption

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

An employee of Covered California works in the newly opened call center in Rancho Cordova, Calif. Covered California is the state's new health insurance exchange. Rich Pedroncelli/AP hide caption

"We have our designs pirated and mass produced by competitors in China." Paul Hillier/courtesy Kink Engineering hide caption