The government shutdown taking a toll as open enrollment begins for insurance providers under the Affordable Care Act. Tampa resident Skylar Trujillo, a 29-year-old mother of four, just got diagnosed with stage three breast cancer and had to leave her job because she needs treatment. South Florida is home to the biggest market for ACA plans in the nation, with some families being threatened by seventy-five-percent premium increases. Nearly one in three Floridians could lose their health insurance as the shutdown drags on.