Molina Healthcare, one of the stalwart insurers in Obamacare, said it may pull out of the healthcare program next year after it saw its fourth-quarter profit tumble, due to massive losses from its participation in the law.

“We believe there are too many unknowns to commit to participation beyond 2017,” Molina CEO J. Mario Molina said in a call with reporters Wednesday afternoon. “We will wait and see how the new administration and Congress plans to adjust the program.”