Our base scenario for enrollment in the Exchange is based on the probabilities found in the literature due to changes in cost of coverage for individuals with different incomes, health status, English proficiency, and starting point of coverage. In the enhanced scenario, we assume that language is not a barrier to enrollment, that eligibility and enrollment processes and systems are simplified, and that the state launches a robust outreach and education effort to make individuals aware of their coverage options. Under these conditions, we assume that 75 percent of uninsured adults who are eligible for subsidies enroll. Unless otherwise stated, estimates are for 2019 after employers and individuals have fully adjusted to the.