ERISA does pre-empt regulations on self-insurers who cover tens of millions of people. There is no reason why you can’t prevent mandates on those who don’t self-insure. I do agree interstate purchases are the way to solve this and other issues, but a single line in a press release saying people will be allowed to buy out of state if they don’t find “affordable” in state choices doesn’t set off alarm bells for me that there is some slight of hand going on. You may be right but I don’t see it . Not yet, anyway.
