The Center on Health Insurance Reforms  |  October 25, 2012

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Proposals to authorize the sale of private health insurance “across state lines” are often promoted to address the challenges of high health insurance costs and a lack of choice among insurers and have been a core component of alternative health reform proposals since the mid-2000s. Critics, however, argue that across state lines proposals would lead to deregulation and a “race to the bottom” where health insurers relocate to the states with the least burdensome regulations.

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