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How the States Will Shape Health Reform

State lawmakers and insurance regulators will play a major role in federal health reform, as they have been given the power to shape and enforce...
August 30, 2011

State lawmakers and insurance regulators will play a major role in federal health reform, as they have been given the power to shape and enforce many of the new rules. According to Georgetown University's Health Policy Institute research professor Sabrina Corlette, "The law is heavily dependent on states, and in many cases almost exclusively dependent on states not just to set rules, but provide oversight and enforcement."

The law allows states to create their own health insurance exchanges or enable the federal government to operate it for them, and they can more closely assess rate increases or allow the new Center for Consumer Information and Insurance Oversight to do it for them. Some states have embraced their role in implementing the law, while others have rejected the law altogether. Meanwhile, provider groups are working with state medical associations and the National Association of Insurance Commissioners to move forward on improving the healthcare system.

Read more on the role of states for healthcare reform: How States Will Shape Health Reform (AMA News 8/29/11)

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