Bill Would Authorize Interstate Health Sales

September 30, 2004 at 08:00 PM
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Consumer should be able to purchase health coverage from any insurer they like, even if that company is not licensed in their state, Rep. John Shadegg, R-Ariz., said Thursday. [@@]

Shadegg's comments were made at a press conference touting H.R. 4662, a bill he has introduced that would let consumers look across state lines when buying their health coverage.

Although H.R. 4662, the Health Care choice Act, would blur the lines between the states, the bill would not hand responsibility for insurance regulation to the federal government and would leave enforcement to state regulators, Shadegg said.

Shaddeg said he has met with state insurance commissioners, and while they were "not thrilled" with the bill, he reported that they viewed its focus on state enforcement as a positive.

Consumer protections "are pretty much the same" between states, Shadegg said. He pointed out that financial requirements for ensuring the soundness of a health insurer "are virtually uniform across the country." However, he noted that there are differences in the requirements for policies between the states. Some of those are "phenomenally expensive and unnecessary" and make the cost of health insurance in one state significantly higher than it would be in neighboring states, Shadegg said.

Lack of uniformity has led to instances of consumers living near the borders of a state with high insurance costs "renting addresses," or using addresses of relatives or friends in the neighboring state, when applying for their coverage.

According to the results of a Zogby poll, which were announced at the press conference, 72% of those polled said they supported the idea of allowing the purchase of out of state coverage provided that it was still regulated by some state, and 82% said they would be likely to consider buying the coverage themselves if they were paying very high rates for coverage regulated by their own states. The numbers were even higher for minorities, with 85% of African Americans and 86% of Hispanics supporting the out-of-state purchasing option.

There may be some obstacles facing the bill, however. Among them is a provision that would require a countersignature on a policy sold out of state. Such countersignatures have been strongly opposed by agents groups in the past.

Shadegg acknowledged that his bill, "may not be perfect," and he said he would be willing to meet with agents' groups to discuss any idea they might have for improving the legislation.

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