Gary Cohen leads the agency that that made many of the rules for the Affordable Care Act . He led the creation of the online Marketplaces for open enrollment . Obama 's signature healthcare program has a goal of 6 million enrollments for 2014 . The CCIIO is also responsible for implementing measures concerning private health insurance . The law requires all Americans to have health insurance or pay a penalty, but it also allows states to opt out and let people buy their own coverage.
Gary Cohen leads the agency that that made many of the rules for the Affordable Care Act . He led the creation of the online Marketplaces for open enrollment . Obama 's signature healthcare program has a goal of 6 million enrollments for 2014 . The law requires all Americans to have health insurance or pay a penalty, but it also allows states to opt out and let people buy their own coverage.