GAO sign GAO investigations have informed lawmakers that, between 2015 and 2017, the state of competition in the ACA exchange system individual market grew weaker. (Photo: Thinkstock)

The Affordable Care Act and federal regulators tried to give the ACA public exchange system a dominant position in individual major medical major medical insurance distribution.

But, as of 2016 — the third year of the ACA public exchange system's operation — the exchange plan system accounted for only 57 percent of U.S. individual major medical enrollment, according to new data from the U.S. Government Accountability Office (GAO).

The GAO is an arm of Congress that helps lawmakers monitor what's going on in the federal government.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.