Medica, the only health insurer offering Obamacare coveragestatewide in Iowa, said it may quit for 2018 if it doesn’t get helpfrom state or federal officials.

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Related: Nearly a third of U.S. counties will have only oneACA carrier next year

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“Without swift action by the state or Congress to providestability to Iowa’s individual insurance market, Medica will not beable to serve the citizens of Iowa in the manner and breadth thatwe do today,” Greg Bury, a company spokesman, said by email. “Weare examining the potential of limited offerings, but our abilityto stay in the Iowa insurance market in any capacity is in questionat this point.”

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Iowa’s Affordable Care Act market has rapidly deteriorated, withtwo of its four insurers, Wellmark Inc. and Aetna Inc., alreadysaying they won’t return next year. Neither offer coverage in theentire state, and the third, Gundersen Health Plan Inc., is presentin just five of Iowa’s 99 counties.

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Related: Insurers brace for ACA marketplacecollapse

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Medica Holding Co., a non-profit company based inMinnesota, can’t take on the risk of insuring Iowa’s entireindividual market by itself, Bury said. Iowa’s insurance regulatorsaid there’s little that state officials can do to help, and thatCongress needs to act instead.

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“Without changes, we’re very concerned about Medica’swillingness to stay and we understand their concerns,” ChanceMcElhaney, a spokesman for the Iowa Insurance Division, said byemail. “This is a problem caused by the ACA and needs to be fixedby Congress.”

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Related: 6 health items that could die with theACA

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The Des Moines Register reported on Medica’s statement earlierWednesday.

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Copyright 2018 Bloomberg. All rightsreserved. This material may not be published, broadcast, rewritten,or redistributed.

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