The National Association of Insurance Commissioners published its 2025 federal legislative and regulatory priorities, framing them around reinforcing the United States’ state-based insurance regulatory system and improving coordination with federal counterparts. Key priorities include calling for the elimination of the US Treasury Department’s Federal Insurance Office, which the NAIC says conflicts with states’ primary role, duplicates confidential data collection, and complicates international engagement. The agenda also emphasizes federal support for natural catastrophe resilience through targeted funding, tax incentives, and support for state mitigation programs; preserving and expanding state flexibility to manage health insurance markets, including through Affordable Care Act waivers and oversight of Medicare Advantage, Short-Term Limited Duration Plans, and Association Health Plans; extending enhanced Affordable Care Act subsidies before they expire at the end of this year; ensuring full and timely funding for state grants and waivers; and issuing federal guidance on Section 1557 nondiscrimination rules, copay accumulator rules, and Mental Health Parity grants.

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