

No anti-trust exemption for health insurers (Rep. Raúl Grijalva)
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10/22/09 01:25 PM ET
When I announced my support for a full repeal of the health insurance industry’s anti-trust exemption yesterday, I was thinking of three things: regulatory fairness, consumer protection and the economy. If we’re going to fix the problems in our health care industry, we need a policy that adequately addresses all three.
Repealing the exemption is fair because, frankly, the status quo is unfair. Members of most American industries are forbidden to fix prices, create de facto local monopolies or divvy up the country in ways that hurt consumers. We need to make sure health insurance is subject to these same unobjectionable regulations.
The policy I support protects consumers by giving the Federal Trade Commission the power to investigate alleged wrongdoing by insurance providers and, if necessary, to sanction guilty parties. Health insurance companies today argue that state anti-trust laws are enough to keep them honest. In fact, few industries enjoy such lax oversight. With many states seeing major budgetary shortfalls, who believes there’s enough regulatory authority at the state level to truly protect consumers? Giving the FTC the support it needs, and should have had in the first place, is the best way to guard against future predatory business practices.
Tightening up these regulations will help the economy by cutting overall health care expenses. When people – for instance, in rural areas – are denied coverage by the only insurer within 50 miles, they don’t just sit at home hoping to get well. They go to the emergency room, and that costs everyone money. We need to make sure insurers play by the rules because we’ve seen what happens to health care costs when they don’t.
The exemption granted in the 1945 McCarran-Ferguson Act was only intended to last until lawmakers addressed the issue more comprehensively. Let’s eliminate it now and tell the government to treat health insurance the way it treats the rest of the economy.
Rep. Raúl M. Grijalva is co-chair of the Congressional Progressive Caucus.
Repealing the exemption is fair because, frankly, the status quo is unfair. Members of most American industries are forbidden to fix prices, create de facto local monopolies or divvy up the country in ways that hurt consumers. We need to make sure health insurance is subject to these same unobjectionable regulations.
The policy I support protects consumers by giving the Federal Trade Commission the power to investigate alleged wrongdoing by insurance providers and, if necessary, to sanction guilty parties. Health insurance companies today argue that state anti-trust laws are enough to keep them honest. In fact, few industries enjoy such lax oversight. With many states seeing major budgetary shortfalls, who believes there’s enough regulatory authority at the state level to truly protect consumers? Giving the FTC the support it needs, and should have had in the first place, is the best way to guard against future predatory business practices.
Tightening up these regulations will help the economy by cutting overall health care expenses. When people – for instance, in rural areas – are denied coverage by the only insurer within 50 miles, they don’t just sit at home hoping to get well. They go to the emergency room, and that costs everyone money. We need to make sure insurers play by the rules because we’ve seen what happens to health care costs when they don’t.
The exemption granted in the 1945 McCarran-Ferguson Act was only intended to last until lawmakers addressed the issue more comprehensively. Let’s eliminate it now and tell the government to treat health insurance the way it treats the rest of the economy.
Rep. Raúl M. Grijalva is co-chair of the Congressional Progressive Caucus.






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