The number of Americans who have chronic dental conditions has increased over the past three decades.

The Affordable Care Act, or ACA, aims to reduce the cost of healthcare for the uninsured and lower out-of-pocket costs.

But the law has also come with some new challenges.

The ACA has expanded Medicaid, the government program for low-income Americans.

But it has also created a new state insurance exchange, or exchange, to compete with private insurers.

While many Americans have coverage through their employers, many don’t have insurance for themselves.

Many states have passed laws mandating that their residents have insurance, but some are still waiting to see if their insurers will accept the federal exchange.

This week, for the first time, the states of California and New York are rolling out the federal exchanges.

So far, the federal law has covered roughly 6.7 million people, according to the Centers for Medicare and Medicaid Services.

But that number will likely increase in the coming weeks and months, as the exchanges are being rolled out.

With the federal government in full-swing, insurers have been forced to make some difficult choices about what kind of coverage they will offer.

Many of them have been hesitant to offer plans that aren’t subject to the ACA, since it does not guarantee coverage to those who buy their policies through their jobs.

Some insurers, such as Humana, are offering plans that don’t meet the ACA’s standards.

“What is the right way to do that?

What’s the right insurance product for that?” said Michael Deacon, senior vice president of the American Hospital Association, a trade group for hospitals.

“We’ve seen insurers saying they don’t want to provide that insurance product.”

Health plans have been taking the extra steps to ensure they can cover those who choose to sign up.

The U.S. Chamber of Commerce has been pushing to make health insurance more affordable for those who are older or sicker than others.

Health insurers have also pushed back against some of the ACA regulations that were imposed to help insurers more quickly handle high demand.

But the most notable of these changes has been the so-called “individual mandate.”

The ACA requires all Americans to buy health insurance or face a penalty.

If the federal health care law is implemented correctly, that penalty could be reduced.

But this month, the Obama administration announced it will begin rolling back the mandate next year.

The change means that most Americans will be able to buy insurance on the individual market, with no more expensive plans.

This is because the individual mandate will be phased out by 2019.

In California, the state exchange is going live, which will take effect in October.

And on Wednesday, the health plans announced plans to offer a variety of plans, including some that don, not have to meet the individual requirement.

One insurer, Anthem Blue Cross Blue Shield, said it will offer plans covering the most expensive plans, but it will also offer plans with fewer coverage options.

Anthem is the second-largest insurer in California, and it is a major player in the exchange.

Anthem plans to increase its coverage to more than 6 million people.

Other insurers have signaled that they may not offer plans on the exchanges.

On Wednesday, Anthem announced that it was leaving the exchange for a year. 

And the number of people who are covered by insurance through their job has increased since the ACA went into effect.

For the first nine months of 2018, about 2.9 million people were covered through their employer.

By the end of the year, that number has increased to 3.7 a million people who have coverage from their jobs, according a report from the Kaiser Family Foundation.

But some health plans have struggled to get their employees on the exchange, since employers aren’t required to offer coverage to their employees.

Some of the problems are driven by the new marketplace rules.

While the ACA requires that health plans provide essential benefits such as maternity care, birth control, and mental health care, it doesn’t require that they provide them to everyone, as most insurers have tried to do.

So many people are being forced to buy coverage on the marketplaces, and many have not been able to afford it.

The ACA mandates that most people with pre-existing conditions be able and willing to pay the full cost of their coverage, which is more expensive than they might have hoped.

But many employers aren-t offering the kind of plan that can be easily subsidized by people with preexisting conditions, so they are having to cover the cost.

According to the Kaiser report, about one-third of the insurers offering coverage in the state of California have said that they have seen a spike in enrollees who are sicker and more expensive.

That suggests that some insurers are not offering the kinds of coverage that they think they need to offer.

But some insurers have found success with the exchange in other ways.

The Kaiser report also found that insurers are offering more affordable plans to their members than they have in the