The federal government has sharply cut funding to groups that help people enroll in health plans. But the groups say federal officials don't understand how much help and follow-up some people need.
Senators holding hearings this week are looking for quick tweaks that will stabilize the insurance markets and make policies cheaper. Some governors want more federal money and more flexibility.
The Nevada legislature has passed a bill that would allow anyone without health insurance in the state to buy into the Medicaid program, regardless of income. It's awaiting the governor's signature.