Rep. Jaime Herrera Beutler has not done her research on a replacement plan for the Affordable Care Act. In her recent letter to Speaker of the House Paul Ryan, her boss, she used that standard Republican solution to the ACA about buying health insurance across state lines.
This has come up many times before and has never been enacted. Why? The insurance industry doesn’t like it. Local doctors and hospitals have to be on board with insurance purchased in another state. Big problem. Health insurance uses a network of doctors and hospitals in their states to make insurance work. If 200 people from Washington want to buy various plans in Utah, nope — that doesn’t work. Each state has different standards and regulations. It would be an unworkable nightmare.