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On the Hook for Uninsured Residents, Counties Wonder Now How They’ll Pay

Hawaii faces budget pressure after federal Affordable Care Act premium subsidies expired, doubling costs in many cases despite $190 million in federal rural health funding, Gov. Josh Green said.

By Christine Mai-Duc and Claudia Boyd-Barrett | KFF Health News In 2013, before the Affordable Care Act helped millions get health insurance, California’s Placer County provided limited health care to some 3,400 uninsured residents who couldn’t afford to see a doctor. For several years, that number has been zero in the predominantly white, largely rural county stretching from Sacramento’s eastern suburbs to the shores of Lake Tahoe. The trend co…

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kffhealthnews.org broke the news in on Tuesday, January 6, 2026.
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