Two states—Maine and Iowa—have asked the Obama administration for more time in implementing a key provision in the health care law that spells out how much health insurers must spend on medical care and quality improvements, state insurance commissioners said after a White House meeting with the president on Wednesday.
A third state, Florida, is gathering additional concrete information and evidence to submit to the administration to bolster its case.
Leaders of the National Association of Insurance Commissioners (NAIC) said at a news briefing that President Obama told them during the meeting that he wants the federal government to be "thoughtful" and "realistic" as the difficult work of the health law's implementation goes on.
The commissioners said their concern is that small companies in the individual market, especially in smaller and more rural states, may founder if they must too quickly meet regulations dealing with what are known as medical loss ratios, or MLRs.
http://www.commonwealthfund.org/Content/Newsletters/Washington-Health-Policy-in-Review/2010/Sep/September-27-2010/State-Insurance-Commissioners-Suggest-Phase-in.aspx
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