Health Insurance:

How Health Care Reform May Affect State Regulation

T-HRD-94-55: Published: Nov 5, 1993. Publicly Released: Nov 5, 1993.

Contact:

Office of Public Affairs
(202) 512-4800
youngc1@gao.gov

GAO discussed states' regulation of health insurance and how proposed health care reforms could affect state health insurance regulation. GAO noted that: (1) only about 24 percent of U.S. national health expenditures are paid by state-regulated health insurers; (2) state insurance agencies commit 4 to 57 percent of their budgets to health insurance regulation; (3) many states cannot estimate the number of full-time staff involved in regulating health insurance; (4) recently adopted state reforms to improve the availability and affordability of health insurance to small groups has increased the strain on resources; (5) state regulatory activities include monitoring insurers' financial solvency, reviewing health insurance premium rates and policies, and investigating consumer complaints and insurer market practices; (6) states may have to perform new regulatory tasks and regulate new organizations under proposed health care reforms; (7) the states' roles are unclear under health care reform and do not specify solvency standards and risk adjustment requirements, or how to establish guaranty funds and monitoring functions; and (8) the health care reform proposals shift some regulatory and complaint-processing functions to health alliances or purchasing cooperatives.

Apr 21, 2014

Apr 18, 2014

Apr 8, 2014

Apr 2, 2014

Mar 26, 2014

Mar 24, 2014

Mar 10, 2014

Mar 7, 2014

Mar 6, 2014

Looking for more? Browse all our products here