Anthem is exiting the ObamaCare marketplace in Ohio, leaving around 20 counties in the state without an insurer willing to sell a health plan in its exchange for 2018. 

The company cited uncertainty as a reason why it’s exiting the exchanges in all of the state’s counties, particularly the question of whether or not the Trump administration will continue payments to insurers that compensate them for reducing out-of-pocket costs for lower-income enrollees.

“The Individual market remains volatile and the lack of certainty of funding for cost sharing reduction subsidies, the restoration of taxes on fully insured coverage and, an increasing lack of overall predictability simply does not provide a sustainable path forward to provide affordable plan choices for consumers,” Anthem said in a statement.

Sen. Rob Portman (R-Ohio) issued a statement shortly after the announcement, saying “this is one more reason why the status quo on health care is unsustainable. The Affordable Care Act has failed to meet the promises that were made to Ohio families.”

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