Enrollment for health insurance under the Affordable Care Act is down with just days left to sign up, according to the U.S. Centers for Medicare & Medicaid Services.

The agency said nearly 20 percent fewer new people signed up than at the same time last year, the Associated Press reported.

In most states, Saturday is the sign-up deadline for coverage beginning Jan. 1. A few states have later deadlines. Unless there is a sudden spike in enrollment, the rate of uninsured Americans could rise after previous increases in coverage that have seen about 20 million people obtain health insurance, the AP reported.

On Monday, former President Barack Obama posted a video on social media urging young adults to sign up for health coverage under the Affordable Care Act. That day featured the largest number of people trying to sign up this open enrollment season, the AP reported.

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