• * Live in an area where there are no marketplace plans.
• * Live in an area where there is just one insurer selling marketplace plans.
• * Can't find an affordable marketplace plan that doesn't cover abortion.
• * Experience "personal circumstances" that make it difficult for them to buy a marketplace plan, including not being able to find a plan in their area that gives them access to specialty care they need.

This is already on top of the numerous other exemptions that are already on the books. People can ask for the exemptions when applying for insurance on the marketplace, and are required to provide a brief explanation for why they believe they qualify, along with supporting documentation. They can apply for the current calendar year or going back two years, to 2016, according to NPR.