California grabbed the first opportunity to expand Medicaid and ran with it, helping cut the number of uninsured people in half in a few short years.

Steven Lopez has gone without health insurance for 15 years, and the Affordable Care Act hasn’t changed his mind. Once again this year he will forgo coverage, he said, even though it means another tax penalty.

The trial starts Monday in the Justice Department’s challenge to health insurer Anthem Inc.’s $48 billion acquisition of reluctant partner Cigna Corp., a case that could produce unusual courtroom drama and be a last hurrah for President Barack Obama’s antitrust enforcers.

The chief executive of Blue Shield of California, the largest insurer on the state-run marketplace, says he’s committed to selling coverage there even as Republicans pursue a repeal of the federal health law.

Donald Trump and his congressional allies are making big plans to repeal the Affordable Care Act and overhaul other government health programs.

President-elect Donald Trump says he wants to preserve health insurance coverage even as he pursues repeal of the Obama-era overhaul that provided it to millions of uninsured people.