1. The regulators know Texas isn't going to any Dem in the election so they say “ok” to the increase since it doesn't matter how pissed off TX gets (to the Fed)
2. They say “no” and let Blue Cross implode thus paving the way toward single payer.
So it's a win win for the regulatory overlords. What's Texas going to do, secede?
There is talk that Texas may introduce a gold based currency when they get their gold back from New York.
That assumes, of course, that the Texans will have more luck than the Europeans did when they tried to get their gold back.