It was the 5 p.m. news on KOLO-8 out of Reno that told Jenny Claypool her new health plan is going away next year.

“What!?” she exclaimed. Despite her job with a community health group and $350 in a monthly insurance subsidy through the ACA, Claypool relies on help from her 78-year-old mother in California to afford the $300 she still must pay in premiums every month. Only ACA coverage comes with subsidies.

Fifty-one and divorced for a decade, she lives in Dayton, a bit west of Silver Springs. She had insurance when she worked for the county school system, but then she changed jobs and went several years without any. Her mental health is fragile — bipolar and borderline personality disorder. During one bad spell, she went to an emergency room in Carson City, which transferred her to a state hospital.

When Claypool heard in 2014 that Medicaid was expanding, she signed up right away, started therapy and began filling her prescriptions at the pharmacy inside the Smith’s grocery store in Dayton, just like anyone else. Last year, Medicaid paid for surgery to repair a tear in her hip. Last fall, she became ineligible for the program after she got a raise at work that lifted her pay from $15 an hour to $17. She turned to the exchange, picking a health plan called Anthem Silver Pathway. The plan will be gone Jan. 1.

That coverage “is a huge sense of security,” Claypool said. “I am going to be out there with nothing.”