who makes health policy in the united states
Health care in the United States
Healthcare is subject to extensive regulation at both the federal and the state level , much of which `` arose haphazardly '' . Under this system , the federal government cedes primary responsibility to the states under the McCarran - Ferguson Act . Essential regulation includes the licensure of health care providers at the state level and the testing and approval of pharmaceuticals and medical devices by the U.S. Food and Drug Administration ( FDA ) , and laboratory testing . These regulations are designed to protect consumers from ineffective or fraudulent healthcare . Additionally , states regulate the health insurance market and they often have laws which require that health insurance companies cover certain procedures , although state mandates generally do not apply to the self - funded health care plans offered by large employers , which exempt from state laws under preemption clause of the Employee Retirement Income Security Act . 
Healthcare is subject to extensive regulation at both the federal and the state level , much of which `` arose haphazardly '' . Under this system , the federal government cedes primary responsibility to the states under the McCarran - Ferguson Act . Essential regulation includes the licensure of health care providers at the state level and the testing and approval of pharmaceuticals and medical devices by the U.S. Food and Drug Administration ( FDA ) , and laboratory testing . These regulations are designed to protect consumers from ineffective or fraudulent healthcare . Additionally , states regulate the health insurance market and they often have laws which require that health insurance companies cover certain procedures , although state mandates generally do not apply to the self - funded health care plans offered by large employers , which exempt from state laws under preemption clause of the Employee Retirement Income Security Act .
Healthcare is subject to extensive regulation at both the federal and the state level.  Under this system, the federal government cedes primary responsibility to the states under the McCarran - Ferguson Act.  Although state mandates generally, it does not apply to the self - funded health care plans offered by large employers, which exempt from state laws under preemption clause of the Employee Retirement Income Security Act.
Healthcare is subject to extensive regulation at both the federal and the state level , much of which `` arose haphazardly '' . Under this system , the federal government cedes primary responsibility to the states under the McCarran - Ferguson Act . Additionally , states regulate the health insurance market and they often have laws which require that health insurance companies cover certain procedures , although state mandates generally do not apply to the self - funded health care plans offered by large employers , which exempt from state laws under preemption clause of the Employee Retirement Income Security Act .