At a recent concert in Clearwater, Florida, Jodi Ray was proud to recognize the lead singer — a previously uninsured man in his forties whom she had helped get health coverage, which led to his first doctor's visit in years. Ray, who directs a navigator program that helps Floridians enroll in health insurance, guided the musician through the process of buying a plan through the ACA’s insurance marketplace. But as the Commonwealth Fund's Shanoor Seervai explains in a feature article, navigators like Ray may not be able to provide this vital service for the next open-enrollment period because of actions taken by the Trump administration.