ALBANY - The New York Department of Financial Services on July 6said that no insurer participating in New York state's health exchange will cap thenumber of people who enroll for coverage, as insurers offering plans on other state healthexchanges across the country have done.

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New York's contracts with insurers in its exchange, New YorkState of Health, do not allow enrollment caps, according to thestate's Department of Health.

"It requires insurers to sell policies to all individuals thatthe marketplace determines eligible to purchase health insuranceduring open enrollment, or a special enrollment period," the healthdepartment said in an emailed statement.

As uncertainty over the future of the Affordable Care Act looms, insurers across thecountry are looking to cap enrollment in an effort to stabilizetheir finances.

Health Partners, based in Bloomington, Minnesota, and Medica andUCare in Minnesota capped their enrollment this year. In Kansas,Medica also put a cap on the plan offered through the marketplace.Community Health Choice, one of only three insurers offering plansin Houston, saw a spike in enrollment from 40,000 two years ago, toroughly 145,000, according to Modern Healthcare, a tradepublication. The plan's executive vice president and chiefoperating officer told the publication that the insurer can'thandle many more enrollees.

In mid-May, the state issued a report noting that more than 3.6million people were enrolled through the state's health exchangeunder the Affordable Care Act at the end of the 2017 openenrollment period, an increase of roughly 800,000 since the thirdopen enrollment period.

But the report also said that the number of people who purchasedAffordable Care Act plans in the commercial marketplace declined.According to the report, 242,880 people enrolled in a privatehealth insurance plan through the online marketplace created by theAffordable Care Act, down 11 percent from the year before.

Health insurance exchange plans have had a rocky last few monthsdue to increasing premiums, some plans' high deductibles and thedisdain of the Trump administration and the Republican Congress forthe Affordable Care Act that created them.

Across the country, several counties could be left without anyoptions for subsidized insurance coverage.

In Iowa, Medica, which has threatened to leave the healthexchange, is the sole insurer for 94 of 99 counties. Healthinsurance giant Anthem has announced plans to leave Ohio'smarketplace in 2018, and will also pull out of the markets inWisconsin and Indiana, citing the uncertainty surrounding thefuture of the Affordable Care Act, and whether the federalgovernment will continue to pay cost-sharing reductions toinsurers.

The Washington Post projects that several counties in Nevada,Missouri, Indiana and Ohio will have no health-exchange insurers inthe upcoming year.