U.S. President Donald Trump said on Thursday he plans to replace government subsidies for health insurance with direct payments to consumers, an idea that some experts have said would hurt lower-income Americans.

NEW YORK -- Fewer Americans are signing up for Affordable Care Act health insurance plans this year, new federal data shows, as expiring subsidies and other factors push health expenses too high for many to manage.

It is unclear whether Congress will strike a deal to bring back tax credits that have helped make health insurance more affordable.

The final weeks of the year offer an opportunity for many people to consider their health insurance options for the upcoming year. Open enrollment for plans sold on government-run marketplaces begins Friday, Nov. 1, in most states, including Pennsylvania ...