Supporters of the Patient Protection and Affordable Care Act (PPACA) are bracing for another obstacle for the landmark health law.

Insurers offering health plans through the federal and state marketplaces are set to jack up their premiums. Although premiums have risen modestly for plans in the first two years of the PPACA's implementation, state regulators have in some instances forced insurers to back off of particularly big price hikes.

But now that insurers are suggesting they may abandon the marketplace entirely if they can't find a way to turn a profit off the business, the federal government may be forced to accept higher premiums.

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