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Eric Sosa (center) and Nancy Maldonado (right) listen to a volunteer counselor with Insure Central Texas explain health insurance options, Oct. 1, in Austin, Texas. Texas hospitals, clinics and charities are gearing up to help uninsured Texans enroll in health care exchanges after Gov. Rick Perry declared the state government would do as little as possible to help implement the Affordable Care Act. (AP Photo/Eric Gay)
Nelly Kinsella demonstrates the Washington Healthplanfinder website, where consumers can shop for health insurance in Seattle. The new site, which allows consumers to compare and purchase health insurance plans and to see if they are eligible for government subsidies, is Washington state's online answer to the Affordable Care Act, which is available to the public beginning Tuesday. (AP Photo/Elaine Thompson)
Ashley Hentze (left) of Lakeland, Fla., gets help signing up for the Affordable Care Act from Kristen Nash, a volunteer with Enroll America, a private, non-profit organization running a grassroots campaign to encourage people to sign up for health care, Oct. 1, in Tampa, Fla. (AP Photo/Chris O'Meara)
Michael Young listens to a presentation on benefits being offered through Blue Cross Blue Shield of Texas as part of the Affordable Care Act, in Houston, Oct 1. (AP Photo/David J. Phillip)