With limited budgets, state ACA exchanges have little money to cover the cost of operating a state marketplace. (Photo: iStock)

When the Affordable Care Act was signed into law by President Obama in 2010, the plan was for states to set up their own insurance marketplaces that would offer an easy way for non-seniors without employer-sponsored health insurance to buy health plans, most of which would be subsidized by the federal government based on income.

Related: Insurers threaten double-digit rate jumps in several states

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