Enrollment help was plentiful for insurance sign-ups in the early years of the Affordable Care Act, such as at this clinic in Bear, Del., in 2014. Though the Trump administration has since slashed the outreach budget, about 930,000 people have signed up for ACA health plans so far this year.

Enrollment help was plentiful for insurance sign-ups in the early years of the Affordable Care Act, such as at this clinic in Bear, Del., in 2014. Though the Trump administration has since slashed the outreach budget, about 930,000 people have signed up for ACA health plans so far this year.