No they don't, but there are some things that could happen at the federal level such as interstate purchasing of medical coverage, association health plans, and the banning some onerous regulations currently in place in certain stupid Northeastern states.
Guaranteed Issue and Community Rating have killed the health insurance market in several states, and essentially destroyed the friendly climate for small business development.
Good interview with Mike Pence. Solid conservative. Talked about a constituent in Indiana (who’d just lost his job) that thanked him last year for his vote against the bailouts. He told Pence that he can get another job, but he can’t get another country. Good point!