Health exchange Health exchange

Peter Lee, executive director of Covered California, speaks during an enrollment event in Grand Park, in front of Los Angeles City Hall, on Nov. 14. Gary Friedman/LA Times via Getty Images hide caption

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Gary Friedman/LA Times via Getty Images

To keep health insurance solvent, the pool of covered people needs to include the well and the sick. Gary Waters/Ikon Images/Getty Images hide caption

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Gary Waters/Ikon Images/Getty Images

Kentucky Gov. Matt Bevin is following through on a promise he made to drop the state-run health insurance exchange in favor of the federal HealthCare.gov. Timothy D. Easley/AP hide caption

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Timothy D. Easley/AP

Kentucky Governor Tells Feds He Will Dismantle State's Insurance Exchange

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A Medicaid office employee works on reports at Montefiore Medical Center in New York in late 2014. New York expanded Medicaid eligibility under the Affordable Care Act and enrollment surged. Julie Jacobson/AP hide caption

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Julie Jacobson/AP

Latoya Watson of Washington, D.C., cheers during a rally outside the Supreme Court on Wednesday, when the justices heard arguments in King v. Burwell. Andrew Harnik/AP hide caption

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Andrew Harnik/AP