OK< here's a question then --- if there is no barrier to interstate health insurance competition, why can't a New Yorker get his health insurance from say, a health insurance provider in Georgia?
I expect it's similar in nature to the interstate banking act, which expanded rules for federally chartered banks to allow them to open branches in different states.
I guess there's a federal chartering process for insurance plans, also, and that would have to be adjusted to allow for interstate plans.
Gotta say .... I'm leery of this. The change hasn't been an unalloyed good for banking, and the idea of insurance companies subjecting clients in Iowa to the same standards as NYC could be unfortunate for the Iowan (or the NY-er).