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Morning Briefing

Summaries of health policy coverage from major news organizations

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Thursday, Sep 28 2017

Full Issue

Trump Promises Order To Allow Insurers To Sell Across State Lines -- But That Option Already Exists

Several states have tried it, and it's been a bust.

The Washington Post: Trump Plans Executive Action To Let Insurers Sell Health Plans Across State Lines

President Trump said Wednesday that he could take executive action next week to allow insurers to sell health plans across state lines and make it easier for individual consumers to buy coverage as a group, a policy approach long championed by conservatives. Trump’s comments, which came on the same day that insurers in about three dozen states had to finalize their federal contracts to offer 2018 coverage under the Affordable Care Act, did little to allay their concerns or those of state officials. (Eilperin and Winfield Cunningham, 9/27)

CNN Money: Trump Says He May Sign Executive Order On Health Care Next Week

A day after Congress' last-ditch attempt to repeal Obamacare failed, Trump said he may soon sign an executive order on health care that would affect millions of people. "I'll probably be signing a very major executive order where people can go out, cross state lines, do lots of things and buy their own health care, and that will be probably signed next week," he told reporters Wednesday. "It's being finished now. It's going to cover a lot of territory and a lot of people. Millions of people." (Luhby, 9/27)

The Hill: Trump Plans Order Allowing Insurance Sold Across State Lines 

Trump said the order is “being finished now. It's going to cover a lot of territory and a lot of people — millions of people.” Selling insurance across state lines is an idea Republicans have long backed. They say competition will help drive down prices. Experts said it’s not clear what an executive order on selling insurance plans across state lines would do. (Weixel, 9/27)

The Wall Street Journal: Trump Says He’ll Work With Democrats On Health Care

The push to ease interstate health-insurance sales has long been a goal of Republicans. Insurers that operate nationally already can sell plans to consumers in any state as long as they are licensed in that state and follow its rules. Republicans have sought to give insurers leeway to sell policies to consumers in a state where they aren’t licensed; such policies would only need to meet the insurer’s home-state regulations. Groups such as the National Association of Insurance Commissioners have argued that insurers under such a system might flock to states with the most-limited requirements for the industry. That could result in some plans carrying bare-bones coverage, even if offering cheaper premiums. In recent years, a handful of states passed legislation setting up special agreements that allow insurers in one state to sell coverage to individuals in another state, but participation has been sparse. (Peterson and Hackman, 9/27)

Politico: Health Plans, Regulators Pan Trump's Plan To Allow Purchase Of Insurance Across State Lines

Trump didn't elaborate on how he would allow insurance to be sold across state lines. But most insurance experts find it hard to imagine how an executive order could supplant existing state regulations, and believe such a move would likely spark a legal challenge. “Health insurers already have the ability to sell insurance in multiple states as long as they comply with state consumer protection and licensing laws, which many already do,” said Mike Consedine, CEO of the National Association of Insurance Commissioners, in a statement to POLITICO. “The NAIC has long been opposed to any attempt to reduce or preempt state authority or weaken consumer protections.” (Demko and McCaskill, 9/27)

Previous KHN coverage: Sounds Like A Good Idea? Selling Insurance Across State Lines

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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