Counihan and his senior staff also worried about 2015 enrollments. AHCT had invested in an extensive marketing push with the help of marketing firm Pappas MacDonnell in 2013 and 2014. the campaign had raised awareness about the ACA and AHCT, improved education and engagement about the law and health insurance in general, and spurred enrollment. It had not come cheap, however, and the federal grants that had funded the marketing in 2013/14 would run out in the midst of the open enrollment period in 2014/15. If AHCT's highly visible 2013/14 marketing campaign could not convince, or perhaps even reach, tens of thousands of uninsured individuals throughout the state, what chance did AHCT have of connecting with the uninsured in 2014/15?