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"Premium increases are small to moderate. ACA-compliant market enrollment declines are modest to substantial. The number of uninsured decreases. ACA-compliant market enrollees are older and less healthy, while non-ACA-compliant nongroup plans retain and/or attract young and healthy individuals. The net cost of the ACA's coverage provisions will increase, particularly under the optional extension plus buy-in proposal. None of the proposals will lead to a death spiral or the implosion of the ACA-compliant market."
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