The federal government is taking the lead in 36 states, while 14 other states plus Washington, D.C., are running their own enrollment websites. New York, running its own site, reported more than 812,000 had signed up by Sunday morning, nearly 100,000 of them last week. However, it's unclear what those numbers may mean. The administration hasn't said how many of the 6 million people nationally who had signed up before the weekend ultimately closed the deal by paying their first month's premiums. Also unknown is how many were previously uninsured — the real test of Obama's health care overhaul. In addition, the law expands coverage for low-income people through Medicaid, but only about half the states have agreed to implement that option.
Mafanikio mengine waliyataja kuwa ni kuendesha malipo ya huduma za afya kwa njia ya Kielekronikia, kuongezeka kwa mapato kutoka milioni 10 kwa mwezi hadi kufikia milioni 18, nazaidi kwa mwezi sambamba na mapato yatokanayo na bima toka milioni 6 hadi milioni 10.Akizungumzia changamoto alisema kwamba wanaupungufu wa wafanyakazi 117 wa kanda mbalimbali,kujaa mara kwa mara kwa matanki ya kuhifadhia maji taka na hivyo kusababisha gharama kubwa ya unyonyaji wa maji taka.