For the next 45 days, Nevada residents can shop for and enroll in a qualified health plan that best fits their budgetary and health circumstances.

Nevada Health Link reminds consumers statewide they have access to free in-person assistance from a licensed enrollment professional who can help them navigate the insurance process and determine their eligibility for federal tax credits and cost sharing reduction subsidies. This year's Open Enrollment ends on December 15.

Last year, Nevada Health Link enrolled a record 91,003 Nevadans, a remarkable achievement considering the federal uncertainty surrounding the healthcare marketplace. With approximately nine percent of Nevadans currently uninsured, Nevada Health Link is working diligently to reach all eligible residents throughout the state, especially underserved populations. 

To find an enrollment assister near you, use the in-person assistance search tool on Residents who are currently insured with Exchange-based health plans are also encouraged to shop for new plans, as plans and premiums have changed. Consumers may call 1-855-768-5465 or email for more information. 

Meanwhile, the federal website where consumers can sign up for health insurance under the Affordable Care Act got off to a slow start Thursday on the first day of open enrollment.

But things seemed to be running normally at by about 9 a.m. EDT.

During the early morning, people accessing the site were directed to a screen that said work was underway. A recording at the call center conveyed a similar message.

A spokesperson for the Centers for Medicare and Medicaid Services said later that is open for business. The federal site serves 39 states.

With health care a major issue in the midterm elections, sign-up season under the Trump administration is getting close scrutiny.

Health care remains a key issue for voters going into next week's midterm elections.

A year ago, it wasn't clear if former President Obama's signature program would survive Republican attempts to repeal it.

But there have been changes. Funding has been reduced for "navigators" who help people through the sign-up process.

And beginning Jan. 1, those who decide to opt out of health insurance won't be penalized come tax time.

Consumers have until Dec. 15 to get coverage for next year. After that, you can only get ACA coverage under limited circumstances.

(Nevada Health Link, The Associated Press contributed to this report.)