End sweetheart deals for big insurance companies and force them to compete across state lines to lower costs and improve service.

We can start by ending the sweetheart deals for big insurance companies and force them to compete for our business across state lines. That will improve service and decrease prices.

Promise to eliminate insurer protections and expand interstate competition in order to lower insurance prices.

ICYMI: Hawley Op-Ed: Missourians deserve quality health care at affordable prices |
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Insurers should also be required to cover individuals with preexisting conditions and young people on their parents’ insurance, up to age 26.

Promise to mandate coverage for preexisting conditions and dependent coverage for young adults.

ICYMI: Hawley Op-Ed: Missourians deserve quality health care at affordable prices |
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Let states—not just DC bureaucrats—regulate insurance companies and set coverage mandates. Eliminate the one-size-fits-all dictates from Washington. ... Allow states to give consumers more insurance options, tailored to different needs, so families and individuals can find a plan they actually want at a price they can afford.

Promise to shift insurance regulation to states and expand plan choice for consumers.

ICYMI: Hawley Op-Ed: Missourians deserve quality health care at affordable prices |
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Let our families, our churches and associations, our unions and non-profits join together in association health plans.

Promise to expand association health plans so groups can pool purchasing power for health insurance.

ICYMI: Hawley Op-Ed: Missourians deserve quality health care at affordable prices |
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The President and Congress took an important first step by scrapping Obamacare’s individual mandate. Now it’s time to empower families and consumers. We can start by ending the sweetheart deals for big insurance companies and force them to compete for our business across state lines. That will improve service and decrease prices.

This is the underlying campaign promise: end favorable treatment for large insurers and make them compete across state lines to lower costs.

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ICYMI: Hawley Op-Ed: Missourians deserve quality health care at affordable prices |
primary · model gpt-5.4-mini · confidence 98%

Today, U.S. Senator Josh Hawley (R-Mo.) sent a letter to State Farm President and CEO Jon Farney, demanding accountability for State Farm’s reportedly slow walking payouts—or failing to pay out altogether—of insurance claims made by Missourians harmed by tornadoes that blew through eastern Missouri last May. After launching a bipartisan investigation last year into the practice of the largest insurance companies subjecting policyholders to delays and underpayments after devastating tornadoes, Senator Hawley continues to demand answers on why the executive’s “words were an empty promise.”

Hawley did pursue insurance-company oversight and claims investigations as a senator, but this is not the pledged interstate-competition reform and does not show the promise was enacted.

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Hawley Demands State Farm Fulfill Payouts Following Last Year’s Devastating Missouri Tornadoes
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Senator Josh Hawley (1979 - ) In Congress 2019 - Present. Member Activity by Josh Hawley. This bill has the status Introduced. Here are the steps for Status of Legislation: 1. Introduced 2. Passed Senate 3. Passed House 4. To President 5. Became Law.

Congress.gov shows Hawley’s federal service and the standard legislative progression, but no enacted federal measure matching the cross-state insurance promise is evident from the member record used here.

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Josh Hawley | Congress.gov | Library of Congress
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Senators Josh Hawley and Elizabeth Warren reintroduced the Patients Before Monopolies Act to prohibit PBMs from owning pharmacies, stating that insurance companies and PBMs have taken advantage of the system and that the bill would let federal agencies and state attorneys general bring actions to force divestiture and restore competition.

This is a concrete, recent Hawley health-care antitrust action that targets insurer/PBM market power and competition, but it does not enact interstate insurance competition or directly deliver the campaign promise.

partial later_term A for effort

Hawley, Warren Reintroduce Bipartisan Legislation to Limit PBMs, Put Patients First
secondary · model gpt-5.4-mini · confidence 87%