(Bloomberg) – From Maryland to Hawaii, Obamacare’s state-run enrollment operations are running into technical difficulties, creating new headaches for the White House even as the federal insurance website finds its footing.

While the U.S. site has seen volumes surge this month, online exchanges run by those two states, along with systems in Massachusetts, Oregon and Hawaii, have struggled with technological delays and low sign-up levels. All but Massachusetts have replaced their top executives this month.

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