Will have to be “in-state” pools under this proposal...”across state lines” won’t stand up in court w/o repealing the “McCarran-Ferguson Act”(1945). SCOTUS ruled that insurance is a contract and as such is regulated by the states.
https://en.wikipedia.org/wiki/McCarranFerguson_Act
http://everything.explained.today/McCarranFerguson_Act/
https://scholarship.law.uc.edu/cgi/viewcontent.cgi?referer=https://duckduckgo.com/&httpsredir=1&article=1155&context=uclr
Unless it is a multistate employer. These pools attempt to do the same thing.
How dare you inject facts into such an emotional discussion ...