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When President Trump describes the Affordable Care Act as “imploding,” Lori Roll, an insurance agent here, does not consider it hyperbole. Only one health insurer in Oklahoma is left selling coverage through the federal marketplace, and the hospital in this city of 36,000 is not in the network. Premiums are among the highest in the country, and while most marketplace customers qualify for the Affordable Care Act’s income-based subsidies that lower the cost, many of Ms. Roll’s middle-class clients do not. (Goodnough and Abelson, 4/20)

With time running out to set insurance prices and still no sign of whether the Trump administration will continue funding cost-sharing subsidies for low-income Americans, several states are giving health insurers a little more wiggle room to file 2018 rates. State insurance regulators hope an extra few weeks to price plans will be enough to ease the insurance industry's jitters created by efforts to repeal and replace the Affordable Care Act and keep insurers from bailing on the exchanges. (Livingston, 4/20)