The valuation of once high-flying technology leader Zenefits is less than $2 billion now, or 65 percent less than its May 2015 high point, following another write down by mutual fund giant Fidelity Investments.

It wasn’t until a doctor ordered medical tests for Adriana Vitale that she discovered her Covered California coverage had disappeared. “I was shocked. I was crying. I was depressed,” said Vitale, 61, of Downey.

People newly insured under the Affordable Care Act were sicker, used more medical care and had higher medical costs than those who already had coverage, the Blue Cross and Blue Shield Association said Tuesday in a new study of its policyholders.

An executive director of a health insurance exchange in Nevada said that the state-based marketplace has helped the region save as much as a million dollars in 2015.

In its latest effort to get more states to states to expand their Medicaid programs, health officials are emphasizing its role in paying for treatment of opioid abuse and mental health issues.

When California’s aid-in-dying law takes effect this June, terminally ill patients who decide to end their lives could be faced with a hefty bill for the lethal medication. It retails for more than $3,000.