Molina Healthcare has announced it will no longer offer insurance plans to Utahns on the Affordable Care Act federal exchange next year because of financial losses and uncertainty over government funding—which means the 70,500 Utahns who are insured by Molina will have to choose a different health insurance plan in 2018.

Molina’s withdrawal leaves SelectHealth and University of Utah Health Plans as the only insurers offering plans on the exchange in Utah next year, and SelectHealth is the only insurer planning to offer plans in every county in Utah (pending federal approval). Intermountain and SelectHealth leaders say they’re committed to staying in the market, though they’re concerned about the messages we’re getting from Washington, D.C.

“Pending regulatory approval for 2018, we intend to continue to offer individual ACA plan options through, the Utah Federally Facilitated Marketplace, and on the Your Health Idaho exchange,” said Pat Richards, SelectHealth’s CEO. “Despite the current uncertainty in the individual insurance market, SelectHealth remains committed to serving all market segments.”

“These are our patients. We’re not going anywhere. We’re going to keep trying to figure this out,” said Marc Harrison, MD, Intermountain’s CEO. “We’re making the best possible financial and clinical decisions we can, and we aren’t going to cut and run because we actually believe in population health and we believe in value.”

Richards added, “We’ll continue to work closely with the departments of insurance in both Utah and Idaho to make sure our individual plan product designs, provider networks, and premiums are appropriate. We’ll also continue to work with all stakeholders to encourage Congress to fund the cost-sharing reduction subsidies that support low-income individuals and families and urge Congress to take additional steps to assure the stability and sustainability of the individual market.”