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16 June 2014
Washington DC
Reporter Stephen Durham

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Health care issues at Congress

Monica Lindeen, commissioner of the Montana Office of Securities and Insurance, has testified before Congress and responded to questions regarding the adequacy of health care provider networks in her state.

Lindeen is also president-elect of the National Association of Insurance Commissioners (NAIC) and indicated that her remarks were informed by her position with the association. She testified before the House Energy and Commerce Subcommittee on Health.

The commissioner explained to Congress why it is critical that state insurance regulators have the flexibility to regulate health insurance provider networks based on appropriate considerations such as geographic access and impact on premiums.

She also affirmed the need to make sure consumers can access clear information on which providers are in the network of each plan.

Lindeen stated: “Ever since insurers began using networks, there have been concerns regarding their ability to meet consumer needs, and state regulators have been examining network arrangements to ensure that they provide sufficient access to care for consumers.”

“That is why regulatory oversight of provider networks has been and will continue to be a priority for me and for other insurance commissioners around the country.”

The hearing focused on access to care with the implementation of the Affordable Care Act (ACA) and the availability coverage offered by insurance plans bought on state and federal exchange marketplaces.

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