The uncertainty over the Patient Protection and Affordable Care Act is taking a heavy toll on carriers.

Moody's Investor Services announced Thursday it was lowering the insurance sector's outlook from stable to negative based on uncertainty over the law.

"While we've had industry risks from regulatory changes on our radar for a while, the ongoing unstable and evolving environment is a key factor for our outlook change," Stephen Zaharuk, report author and Moody's senior vice president said in a statement. "The past few months have seen new regulations and announcements that impose operational changes well after product and pricing decisions were finalized."

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