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 This will open up the approval of legal challenges. The agency opened the door for states to create alternatives to Obamacare in 2018. The Peach State, which has the nation's third-highest uninsured rate at 13.4%, is the first to seek this enhanced power to reshape its individual market. About 433,000 Georgians were enrolled in Obamacare exchange plans, as of February, according to federal data. The approval came on the same day as open enrollment for 2021 began and 10 days before the Supreme Court is set to hear oral arguments in a case that could bring down the law. The Trump administration is backing a coalition of Republican-led attorneys general, including Georgia's, who argues that Obamacare's individual mandate was rendered unconstitutional after Congress reduced the penalty for not having insurance to zero as part of the 2017 tax cut law.

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