2008 Health Insurance Mandates in the States

Source: Victoria C. Bunce, J.P. Wieske, and Lawrence J. Siedlick, Council for Affordable Health Insurance, 2008

From press release:
Today the Council for Affordable Health Insurance (CAHI) released the 2008 edition of “Health Insurance Mandates in the States.” According to the study, the number of state mandated benefits continues to grow — to 1,961 nationwide, up from 1,901 last year.

“Policymakers are increasingly focusing on how to reduce the number of uninsured Americans,” stated CAHI Director Dr. Merrill Matthews. “Ironically, these same policymakers continue to pass laws that drive up the cost of coverage and make policies unaffordable for millions of Americans.”

A health insurance mandate is a requirement that an insurance company cover specific health care providers, benefits or patient populations. While mandates make health insurance more comprehensive, they also make it more expensive because mandates require insurers to pay for care consumers previously funded out of their own pockets. Based on our analysis, mandated benefits currently increase the cost of basic health coverage from a little less than 20% to more than 50%, depending on the state and the specific legislative language.

The study’s authors, CAHI Research and Policy Director Victoria C. Bunce, State Affairs Director J.P. Wieske and Government Affairs Assistant Lawrence J. Siedlick, track hundreds of mandate bills and identify those that actually pass. The study also includes an estimate, provided by a team of health actuaries, of how much each mandate adds to the cost of a health insurance policy.

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