Provisions relating to offering of plans in more than one State

42 U.S. Code § 18053. Provisions relating to offering of plans in more than one State

(a) Health care choice compacts
(1) In generalNot later than July 1, 2013, the Secretary shall, in consultation with the National Association of Insurance Commissioners, issue regulations for the creation of health care choice compacts under which 2 or more States may enter into an agreement under which—
(A)
1 or more qualified health plans could be offered in the individual markets in all such States but, except as provided in subparagraph (B), only be subject to the laws and regulations of the State in which the plan was written or issued;
(B) the issuer of any qualified health plan to which the compact applies—
(i)
would continue to be subject to market conduct, unfair trade practices, network adequacy, and consumer protection standards (including standards relating to rating), including addressing disputes as to the performance of the contract, of the State in which the purchaser resides;
(ii)
would be required to be licensed in each State in which it offers the plan under the compact or to submit to the jurisdiction of each such State with regard to the standards described in clause (i) (including allowing access to records as if the insurer were licensed in the State); and
(iii)
must clearly notify consumers that the policy may not be subject to all the laws and regulations of the State in which the purchaser resides.
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