In this March 31, 2014 file photo, people sign up for the Affordable Care Act at Swope Health Services in Kansas City, Mo. Advocacy groups are planning a greater effort to encourage minorities and rural Missouri residents to sign up for health insurance through a federally run website as an enrollment period opens Saturday. Consumers could see more choices of insurance plans, but at slightly higher prices than this past year. (AP Photo/Charlie Riedel)FILE -
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