Recently, the Department of Health and Human Services released a report that shows premiums have doubled for individual health insurance plans since 2013. The HHS National Spokesperson stated that Americans were paying a whopping $3,000 more per year on health insurance.

For Nebraskans, the healthcare woes don’t stop there. 100,000 people in the Cornhusker State will be left with only one individual health insurance option next year—leaving just Medica Health. Both Aetna Health and Blue Cross Blue Shield of Nebraska announced this year that they will not participate in the insurance market in 2018. Blue Cross will be dropping the last two insurance plans that meet the ACA’s standards because to stay in the Nebraska market, they would be forced to raise all prices to make up for the losses.

To make matters even worse, Medica Health has yet to make a final decision on whether they will even stay. If they were to leave the state market, there would be no insurance providers, forcing residents to pay federal penalties for not buying insurance plans that do not exist anymore, although Cynthia Cox, the deputy director of the Kaiser Family Foundation, said that Nebraska will be among only a few states with only one individual ACA insurer, and it is unlikely for Medica to pull out of Nebraska entirely.

However, with so many companies dropping out of the insurance market because they are not making a profit, the brokenness of the status quo and need for reform. Congress should work to find ways that make health insurance more affordable and higher quality for all Americans.

Note: This post originally appeared at the Institute to Reduce Spending.