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WASHINGTON (AP) – Progress in reducing the number of people without health insurance in the U.S. appears to be losing momentum.

That’s happening as rising premiums and dwindling choices have revived the political blame game over President Barack Obama’s health law.

A survey shows the uninsured rate among adults dropped by just 1 percentage point from 2015 through this July. That’s the smallest decline since the law’s big coverage expansion.

The future of the Affordable Care Act hinges on the presidential election. Whoever wins, it’s looking like a moment of truth for Republicans.

If Donald Trump is president, Republicans will be judged on how many people are covered — or lose coverage — by the still-evolving GOP replacement plan.

If Democrat Hillary Clinton wins, repealing the law will look even more futile.

(© Copyright 2016 The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten or redistributed.)