Obamacare Sign-Ups Lag As Trump Slashes Funds For Enrollment Help

Affordable Care Act navigator Nini Hadwen (right) helped Jorge Hernandez (left) and Marta Aguirre find a plan on the health insurance exchange in Miami in 2013. Today, with fewer navigators, much of that counseling is done by phone instead of in pers

Joe Raedle / Getty Images

Enrollment is down sharply on the federal health insurance marketplace this fall, and the consumer assistance groups that help with sign-ups think they know why.

They don’t have the staff to help as many customers as before because the Trump administration slashed funding. The federal government is spending $10 million this year on navigators who help individuals enroll in coverage. The government spent $36 million in 2017 and $63 million in 2016.

“We don’t have the people to provide the enrollment assistance nor to do the outreach and marketing to let people know what’s happening,” says Jodi Ray at the University of South Florida. She’s overseen Florida’s largest navigator program since 2014.