[Spooky23]

States with more people and costs usually have more coverage requirements.

You don’t want insurance to be like banking where banks domicile in “friendly” places like Delaware and South Dakota. Health insurance is awful enough.

Republicans want this so that high cost, low benefit plans can be hocked to less sophisticated people. The more right wing folks also like shared responsibility pools where the members are the insurers, and the organizers take overhead. Obamacare put most of these out of business.