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Although the health law could expand coverage to millions, many low-income people and others will not have insurance and will still have to rely on these programs for preventive care.
Not a single person is enrolled yet in Oregon, where 7,300 applications have been filed, all on paper.
Health officials are counting on physicians to help educate patients about new insurance options under the health law. But like everyone else, doctors have differing opinions about Obamacare.
What accounts for the different experiences of the state and federally managed exchanges? Why are the exchanges that the federal government runs so bug-ridden, subjecting users to long delays and possibly even more serious problems?
After 300,000 Floridians receive notices that their plans will expire, Florida Blue, the state's largest insurance company, assures customers they will be eligible for new, ACA compliant plans.
An information session at a beauty salon in the heart of St. Paul's Latino community helps clear up confusion but yields no enrollments so far.
In Washington state, nearly 25,000 residents have signed up for coverage in the exchange's first two weeks, whereas in Oregon, no one has been able to enroll through its website, although low-income residents have been able to sign up for Medicaid without the site.
Health centers expand thanks to federal grants, but increased competition could hurt smaller facilities.
Texas community groups are relying on promotoras - health counselors, often women, who offer one-on-one counseling about coverage options in Spanish-speaking communities.
Once consumers are primed to enroll, the hand-off to counselors has been rocky. Many counselors are still attending training or are awaiting background checks and state-issued licenses; some just need a computer log-in.
The health law provides for subsidized coverage for basic and preventive services for kids, and some states are requiring that they be included in every policy.
Brad Stevens, 54, learned the hard way that being uninsured was risky as accidents and illness took a toll. Soon, he'll qualify for California's expanded Medicaid program.
Pardit Pri, 29, is among the 5 million uninsured people in California. Insurance would give her peace of mind, but she worries whether she can afford it.
One South Texas health center had 50 people show up to enroll Tuesday, many could prove what they make, but not a single one had an email address required to sign up online.
There was a party atmosphere at Affordable Care Act events in California, where the law has been embraced, and in Virginia, where it has been resisted. But consumers will have very different experiences in the two states.
What you need to know about signing up for ACA marketplace coverage: There are new benefits, and what you pay depends on your age, your address and how much you earn.
They can expect to be bombarded by messages from both proponents and critics of the law.
A coalition of the city's health department, county clinics and groups like the Urban League and Enroll America is trying to get the word out to Houston's 800,000 uninsured residents about the Affordable Care Act's insurance marketplaces, which will open Oct. 1.
Survey of 2,000 Californians also finds that many undocumented immigrants mistakenly believe they will be covered.
In Missouri, a decidedly low-profile campaign stems from a voter referendum last year barring the governor from moving forward on an exchange. In Illinois, officials partnered with the federal government to build the marketplace. Nonetheless, neither exchange has given any cost information to consumers.
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