Enrollment in health insurance plans created under the Affordable Care Act's Consumer Operated and Oriented Plan Program as an alternative to the "public option" has fallen short of expectations in some states while proceeding well in others. About 9,000 consumers have signed up for plans through Colorado HealthOP, 50,000 in Iowa and Nebraska have enrolled in CoOportunity Health, and about 80% of all enrollees in Maine have chosen Maine Community Health Options.

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