Boehner contains 367 statutory requirements. These new federal statutory and regulatory requirements will necessitate an explosive growth in federal bureaucracy. Thousands of new personnel will be required to provide oversight and enforcement of hundreds of new requirements at the federal level alone. These bills would likely require more .
State regulation is likely to grow in tandem with oversight and enforcement needs.
Generally, states will be permitted to adopt additional requirements so long as the state rules do not prevent the application of the federal requirements. Health plans operating as fully-insured arrangements will be subject to hundreds of state and federal regulations. Boehner also includes access provisions that are not included in this count.