That's because "interstate competition" is not an issue of federal spending. This is a fiscal (budget reconciliation ) bill.
To allow someone to purchase a new jersey plan regulated in texas would disallow all of the new jersey requirements for that person. they would have no standing for being held harmless in the state they reside. thus making health insurance federal.
Which is a pretty good example of exactly why it should happen.
Prior to ObamaCare, New Jersey was (or still is) the worst health insurance market in the US.
The very second TX-plans were to become available...EVERYONE IN THE STATE would rush to buy it. All the NJ domestics, due to the aforementioned wonderful NJ "requirements" would instantly go out of business, and all the insured would now have great plans at a fraction of the cost.
The only problem with hospital payments is that there are people that were not insured that some one felt needed to be covered in the e-rooms at a hospital.
That's one of the provider-side "stupidest things in the world" that needs to be banned by Price. ERs are for emergencies NOT hangnails. That's what clinics and nurse-practitioners are for.
The last human charity that hospitals couldn’t quantify (especially with influx of illegals) and couldn’t control the costs.
Even before any such surge, they couldn't control costs due to bad debt (people not paying their co-pays) and charity-care. They unashamedly passed on the costs of all this "Free Healthcare" to paying customers and insurers (costshifting)...it became a tenet of US "healthcare" (a bad one at that)
Dr Price or Congress needs to ban that practice.
Providers also need to be required to post the costs of their procedures (which vary widely) so the public can do some shopping.
buying insurance across state lines, which is not in this bill.<<< nicely analyzed. thank you