Insurers must decide by Wednesday whether they're going to participate in 39 states' insurance exchanges next year. And despite the turmoil already roiling those markets — double-digit premium increases are piling up nationwide, and dozens of counties won't have any plans available — Congress has run out of time to provide any help.
There are 47 counties across three states where no insurers have signed up to participate next year. More could still drop out , but none will be able to enter new markets once next week's deadline passes. Some Republicans had hoped to stabilize the Affordable Care Act's exchanges while they worked on a bigger health care bill. But party leaders aren't as concerned, and said the problem could be fixed later.