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In this special episode of KHN’s “What the Health?” podcast, host Julie Rovner talks with Peter Lee, former head of Covered California, the largest state-run marketplace for insurance under the Affordable Care Act.

Lee, who was the first executive director of Covered California and held the job for more than 10 years, stepped away in March. He reflects on how the ACA has changed the nation’s health system, what could result if Congress fails to renew expanded premium subsidies that have helped boost coverage, and what should happen next with the health law and the millions of Americans who still lack health insurance coverage.

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