Anthem has announced its exiting the Affordable Care Act exchange in all but one Ohio county, citing the uncertainty over whether the Trump administration will continue to pay cost-sharing reduction subsidies to insurers.

According to the Cleveland Plain-Dealer, Anthem is leaving the door open for a quick return by offering ACA-compliant individual policies in one small area, Pike County. Due to other planned shifts, however, the move could leave up to 18 counties in the state at risk of lacking an ACA insurer next year.

In the statement announcing the withdrawal, Anthem said a stable insurance market "is dependent on products that create value for consumers through the broad spreading of risk and a known set of conditions upon which rates can be developed. Today, planning and pricing for ACA-compliant health plans has become increasingly difficult due to the shrinking individual market as well as continual changes in federal operations, rules and guidance."

Both Democrats and Republicans representing the state pounced on announcement as proof the other side is preventing needed changes to the ACA markets.

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