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FILE – In this Tuesday, Jan. 24, 2017, file photo, Xonjenese Jacobs, right, helps Kristen Niemi sign up for the Affordable Care Act during a healthcare expo at the University of South Florida, in Tampa, Fla. The Affordable Care Act’s fate is unclear. President Donald Trump has vowed to repeal it, but lawmakers have yet to reach an agreement on a replacement, leaving millions of people wondering how to deal with the ACA’s uncertain future. (AP Photo/Chris O’Meara, File)