Chan Lai Ly, right, has his mouth examined as part of a regular check-up related to his diabetes, by Honghue Duong, left, a physician's assistant, Friday, March 1, 2013 at International Community Health Services in Seattle. The clinic, which serves patients who speak more than 50 different languages, illustrates a challenge Washington state will face as it launches its new health insurance exchange as part of the federal Affordable Care Act. (AP Photo/Ted S. Warren)

Chan Lai Ly, right, has his mouth examined as part of a regular check-up related to his diabetes, by Honghue Duong, left, a physician's assistant, Friday, March 1, 2013 at International Community Health Services in Seattle. The clinic, which serves patients who speak more than 50 different languages, illustrates a challenge Washington state will face as it launches its new health insurance exchange as part of the federal Affordable Care Act. (AP Photo/Ted S. Warren)

Chan Lai Ly has his feet examined as part of a regular check-up related to his diabetes, by Honghue Duong, a physician's assistant, Friday, March 1, 2013 at International Community Health Services in Seattle. The clinic, which serves patients who speak more than 50 different languages, illustrates a challenge Washington state will face as it launches its new health insurance exchange as part of the federal Affordable Care Act. (AP Photo/Ted S. Warren)

Chan Lai Ly has his feet examined as part of a regular check-up related to his diabetes, by Honghue Duong, a physician's assistant, Friday, March 1, 2013 at International Community Health Services in Seattle. The clinic, which serves patients who speak more than 50 different languages, illustrates a challenge Washington state will face as it launches its new health insurance exchange as part of the federal Affordable Care Act. (AP Photo/Ted S. Warren)

Chan Lai Ly, left, speaks Vietnamese with Cecilia Trinh, right, a medical assistant, during a regular check-up related to his diabetes, Friday, March 1, 2013 at International Community Health Services in Seattle. The clinic, which serves patients who speak more than 50 different languages, illustrates a challenge Washington state will face as it launches its new health insurance exchange as part of the federal Affordable Care Act. (AP Photo/Ted S. Warren)

Chan Lai Ly, left, speaks Vietnamese with Cecilia Trinh, right, a medical assistant, during a regular check-up related to his diabetes, Friday, March 1, 2013 at International Community Health Services in Seattle. The clinic, which serves patients who speak more than 50 different languages, illustrates a challenge Washington state will face as it launches its new health insurance exchange as part of the federal Affordable Care Act. (AP Photo/Ted S. Warren)

Graphic symbols are used to identify different departments, Friday, March 1, 2013 at International Community Health Services in Seattle. The clinic, which serves patients who speak more than 50 different languages, illustrates a challenge Washington state will face as it launches its new health insurance exchange as part of the federal Affordable Care Act. (AP Photo/Ted S. Warren)

Loan Truong, left, who is Vietnamese, has blood drawn by Rechyle Torio, right, a phlebotomist, Friday, March 1, 2013 at International Community Health Services in Seattle. The clinic, which serves patients who speak more than 50 different languages, illustrates a challenge Washington state will face as it launches its new health insurance exchange as part of the federal Affordable Care Act. (AP Photo/Ted S. Warren)

Honghue Duong, right, a physician's assistant, conducts an exam, Friday, March 1, 2013 at International Community Health Services in Seattle. The clinic, which serves patients who speak more than 50 different languages, illustrates a challenge Washington state will face as it launches its new health insurance exchange as part of the federal Affordable Care Act. (AP Photo/Ted S. Warren)

Information about diabetes is shown in Chinese and other languages, Friday, March 1, 2013 at International Community Health Services in Seattle. The clinic, which serves patients who speak more than 50 different languages, illustrates a challenge Washington state will face as it launches its new health insurance exchange as part of the federal Affordable Care Act. (AP Photo/Ted S. Warren)

Chan Lai Ly, left, speaks Vietnamese during a regular check-up related to his diabetes, with Honghue Duong, right, a physician's assistant, Friday, March 1, 2013 at International Community Health Services in Seattle. The clinic, which serves patients who speak more than 50 different languages, illustrates a challenge Washington state will face as it launches its new health insurance exchange as part of the federal Affordable Care Act. (AP Photo/Ted S. Warren)