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			 Citing nearly 2 million visits to the HealthCare.gov website and 
			over 250,000 inquiries at call centers before Monday's sign-up 
			deadline, the government gave consumers an extra day to enroll by 
			midnight on Tuesday for January coverage. 
 			It added flexibility by encouraging consumers to contact government 
			call centers if they had started but not been able to finish their 
			applications, without specifying a deadline for completing those 
			enrollments.
 			"Sometimes despite your best efforts, you might have run into delays 
			caused by heavy traffic to HealthCare.gov, maintenance periods, or 
			other issues with our systems that prevented you from finishing the 
			process on time," read a blog post on HealthCare.gov on Tuesday. "If 
			this happened to you, don't worry — we still may be able to help 
			you get covered as soon as Jan. 1."
 			The last-minute changes were aimed at getting as many people as 
			possible insured under the Affordable Care Act, Obama's major 
			domestic policy initiative. The administration has been moving the 
			sign-up goal posts as it tries to recover from technical failures 
			and political missteps that dogged the enrollment drive for weeks 
			after it opened on Oct. 1. 			
			
			 
 			Ahead of Monday, more than 1 million people had signed up for 
			private coverage through HealthCare.gov — which serves 36 states — and 14 state-run marketplaces, according to state and federal 
			estimates.
 			Enrollment data from the final dash was not available on Tuesday, 
			but administration officials cited "amazing interest in signing up 
			for Jan. 1."
 			"We are taking thousands of calls at our call centers, which remain 
			open until midnight, and we are seeing thousands of visitors 
			complete enrollment online," said Julie Bataille, spokeswoman for 
			the Centers for Medicare and Medicaid Services (CMS), which runs the 
			HealthCare.gov site.
 			Americans who wait until after Tuesday to begin the process of 
			selecting a health plan will have missed the deadline for health 
			insurance coverage starting Jan. 1 and will be covered as of 
			Feb. 1, CMS said on Tuesday afternoon.
 			The New Year's push represents the biggest test yet of the program's 
			ability to draw in enough consumers to make it financially viable. 
			The Congressional Budget Office forecast 7 million people would sign 
			up by March 31, the last date to get coverage in 2014, but 
			HealthCare.gov's problems threw those estimates into doubt.
 			About one-third or more of those newly insured will need to be 
			young, healthy adults whose payments into the system would help 
			offset the costs of covering older, sicker people.
 			MINIMIZING THE CONFUSION
 			The problematic rollout of the health law known as Obamacare, which 
			was passed in 2010 and survived legal challenges, helped send 
			Obama's popularity ratings to record lows and stepped up Republican 
			efforts to gut the law and use it against Democrats in 2014 
			congressional elections.
 			The more recent changes, which the administration has said are 
			intended to show flexibility, have introduced a new element of 
			confusion for consumers as well as the health insurance companies 
			that have been pressed by the government to allow new members to 
			pay, and even sign up, past Jan. 1 for retroactive coverage. So 
			far the industry has agreed to extend the first payment deadline to 
			Jan. 10.
 			
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			"Health plans will continue to do everything they can to help 
			consumers through the enrollment process and to mitigate potential 
			confusion or disruption caused by all of these last-minute changes 
			to the rules and deadlines," said Robert Zirkelbach, spokesman for 
			American's Health Insurance Plans, an industry trade and lobbying 
			group.
 			"Navigator" groups that have been chosen by the government to help 
			people sign up said they were receiving panicked calls from 
			consumers who mistakenly thought they would be shut out of any 
			coverage in 2014 if they didn't sign up now.
 			"They think if they don't enroll today they're going to be 
			penalized," said Sandra Luz, lead navigator at the Community Council 
			of Greater Dallas. Luz said the group's office was prepared to stay 
			open late on Tuesday to accommodate more calls and walk-in visits 
			and would work over the holiday week with the exception of Christmas 
			Day and New Year's Day.
 			The Affordable Care Act requires most Americans to be enrolled in 
			coverage by March 31 or face penalties that start at $95. This 
			week's deadline, which had already been moved to Dec. 23 from 
			Dec. 15, applied to coverage starting on Jan. 1.
 			"A ton more people are calling in right now, and this is from people 
			who haven't been doing this any earlier. There really are many more 
			people who are just looking at this for the first time thinking, 'Oh 
			my goodness, I need to get this done now,'" said Ari Epstein, a 
			navigator for SER National in Waukegan, Illinois.
 			He said he worked with one consumer on health plan options until 11 
			p.m. on Monday.
 			"What's really taking the most time isn't the issues with the site 
			that I've seen, it's folks who have questions about coverage, and 
			the specifics of any respective plan that I don't have answers for. 
			The wait times for the respective providers can be two hours or two 
			and a half hours," he said.
 			Several state-run exchanges have also moved their enrollment 
			deadlines. New York and California, two of the largest, added a 
			one-day grace period similar to the federal insurance marketplace.
 			Massachusetts said on Tuesday it would allow sign-ups until Dec. 
			31 given heavy volume and technical problems that have hampered its 
			exchange. Rhode Island, Oregon and Maryland had already extended 
			their deadlines beyond Christmas.
 			(Additional reporting by Curtis Skinner in New York; 
writing by Doina Chiacu; editing by Michele Gershberg, Grant McCool and Leslie 
			Adler) 
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