Health insurance companies can expect higher costs and new fees, House Speaker Nancy Pelosi indicated Thursday. "It is absolutely clear that it is an unsustainable situation as we go forward, and it is well known to the public that the health insurance companies are the problem," Pelosi said, adding that the House's approach to paying for health care reform may include putting a flat fee on insurance companies that is expected to generate about $40 billion over 10 years. Pelosi also wants insurers to spend 85 cents from every dollar in premiums on benefits. And she added that lawmakers may institute federal regulation for insurers, which are now regulated at the state level.
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