U.S. health secretary Kathleen Sebelius gestures during a press conference at the United Nations headquarters in Geneva, Switzerland, Tuesday, May 17, 2011. (AP Photo/Anja Niedringhaus)

WASHINGTON (AP) — The government is cutting premiums by up to 40 percent in nearly two dozen states and implementing other changes to make it easier for people with pre-existing medical conditions to get health insurance.

The move Tuesday comes as enrollment in the Pre-Existing Condition Insurance Plan continues to lag far behind expectations, often because people can’t afford the premiums or find it too hard to meet enrollment requirements.

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