Richardson, who serves a Republican governor, said regulators are particularly concerned about those state residents who don't qualify for government subsidies. The cheapest plan available next year to a 40-year-old consumer will cost at least $543 a month in those 11 Nevada counties.
Blue Cross Blue Shield of Wyoming, the only insurer selling plans on that state's marketplace, raised its rates by 48 percent on average in 2018, in part to reflect uncertainty about events in Congress.
Wendy Curran, vice president of the Wyoming health plan, said the insurer, a locally run nonprofit, is committed to remaining in the market.
"We consider ourselves part of the fabric of the state," she said.
But Curran acknowledged that coverage is increasingly out of reach for state residents who don't qualify for government aid.
"By anyone's standards, these prices are very high," she said.
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