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In this Sept. 12, 2018, file photo, Health & Human Services Secretary Alex Azar speaks during an interview with The Associated Press in New York. Azar said premiums for a popular type of health plan under the Affordable Care Act will edge downward next year. Speaking in Nashville on Thursday, Sept. 26, Azar said premiums for a popular type of “silver” plan will drop by 2 percent in the 39 states served by the federal HealthCare.gov website. The number of marketplace insurers will grow for the first time since 2015. (AP Photo/Mary Altaffer, File)

In this Sept. 12, 2018, file photo, Health & Human Services Secretary Alex Azar speaks during an interview with The Associated Press in New York. Azar said premiums for a popular type of health plan under the Affordable Care Act will edge downward next year. Speaking in Nashville on Thursday, Sept. 26, Azar said premiums for a popular type of “silver” plan will drop by 2 percent in the 39 states served by the federal HealthCare.gov website. The number of marketplace insurers will grow for the first time since 2015. (AP Photo/Mary Altaffer, File)

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