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Republicans in Washington jumped on the announcement to say this proves that repealing and replacing the 2010 law cannot wait.

But Democrats as well as healthcare advocates said the very problems cited by Anthem have been exacerbated by political and policy decisions by congressional Republicans and President Donald Trump.

"Regarding other states, we remain in active dialogue with state leaders and regulators in hopes that we can find a sustainable path moving forward before we are required to make a decision," company spokesman Jeff Blunt said in an email.

"As the individual marketplace continues to evolve, Anthem will continue to advocate solutions to ensure long-term stability in the market." To Obamacare critics, Anthem's Ohio exit confirms that the law mandating health coverage is deeply flawed.

Health insurance plans must provide breastfeeding support, counseling, and equipment for the duration of breastfeeding.

"I think it's fair to say that we may be looking at any option we may have over the next few weeks," said department spokesman Chris Brock.

Statewide, Anthem's decision affects about 66,000 Ohioans, though most live in counties where they will be able to pick a different insurer for 2018.

Countered Congressman Pat Tiberi, a Columbus-area Republican who has been working on a repeal-and-replace bill: "This is just more evidence that conditions under Obamacare are just going to get worse. Insurers choosing to participate in 2018 had to file their plans with the state by Monday and state regulators are only now reviewing them.

It is collapsing under its own weight." Anthem is just one of a number of companies exiting Obamacare next year. Based on current company footprints, this would appear to leave 20 rural Ohio counties at risk of lacking a single insurer on the Obamacare exchange, or market, in 2018, according to Sen. Still, Anthem's exit means there will be no companies selling statewide in Ohio.