The Affordable Care Act will on average raise by 34% to 80% the underlying cost of individually purchased health insurance in Washington state, which already has a regulated individual insurance market, Avik Roy writes. The federal health insurance law will do many things to increase rates, and the biggest driver will be rules governing actuarial value, or how much insurers must pay out, Roy writes. ACA taxes on pharmaceuticals, medical devices and insurance premiums will also boost premiums, he writes.

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