Julie Appleby, KFF Health News

The Trump administration issued its first major set of proposed changes to the Affordable Care Act, intending to crack down on fraud in the program. Policy experts say they will make it harder for consumers to sign up for coverage, potentially reducing enrollment.

While Washington ponders the future of the Affordable Care Act, health insurers need to decide right now what to charge people for health insurance in 2018. "It's insane," says one CEO.