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With ACA open enrollment underway, some business owners worry about upcoming changes The Affordable Care Act health insurance marketplace is now open for enrollment, but some of the changes slated for next year have small business owners concerned. Health Care With ACA open enrollment underway, some business owners worry about upcoming changes November 3, 20256:53 AM ET Heard on Morning Edition Selena Simmons-Duffin Steve Inskeep With ACA open enrollment underway, some business owners worry about upcoming changes The Affordable Care Act health insurance marketplace is now open for enrollment, but some of the changes slated for next year have small business owners concerned.