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

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; 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; 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 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. A State may not enter into an agreement under this subsection unless the State enacts a law after March 23, 2010 , that specifically authorizes the State to enter into such agreements. will provide coverage that is at least as comprehensive as the coverage defined in section 18022(b) of this title and offered through Exchanges established under this title; 1 1 See References in Text note below. will provide coverage and cost sharing protections against excessive out-of-pocket spending that are at least as affordable as the provisions of this title 1 would provide; will provide coverage to at least a comparable number of its residents as the provisions of this title 1 would provide; will not increase the Federal deficit; and will not weaken enforcement of laws and regulations described in paragraph (1)(B)(i) in any State that is included in such compact. A health care choice compact described in paragraph (1) shall not take effect before January 1, 2016 .