Impeding changes to our Health Care system

Originally Posted by TheMercenary

But when they opt out the rules for those states that opt out are not the same. They are not regulated the same.

The minimum regulations are the same for all states....the flexibility is in the administration, not the regulation.

It also gives flexibility to insurance companies that might not be large enough or have interest in being in a national exchange, but very interested in particular states..thus increasing competition in those states but under which those companies still have to meet minimum federal standards.

The key feature of the Republican plan was to allow insurance companies to sell across state lines, with virtually no federal regulations so that the companies would look for the state (or US terrirtory) with the least regulation and least consumer protections, establish a presence in that state, and then sell across state lines to consumers across the country.