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“Somebody call me at 3 a.m., or I’ll be lonely if you don’t,” said Purvee Kempf, chief policy adviser for the D.C. Health Benefit Exchange.

In Maryland, Mr. Hoyer said Americans should expect a few stumbles in the early days of implementation.

Attendees at Monday’s meeting also wondered aloud if they are doing enough to reach young residents, such as leveraging social media.

“They’re not watching the news shows,” said Kathleen O’Brien, executive director of Walden Behavioral Health Services. “I don’t think what’s come out so far has been clear or hit the right audience.”