This allows individuals to buy policies similar to what employees of the largest companies have. Companies like Amazon or Facebook.  They have one plan that covers employees in multiple states. The state commissioners complaining is disingenuous at best. Nationwide policies have existed forever, only the fortunate few have had access. Hate Trump or Obama but this is a large step forward in bringing competition and ultimately prices down. If they can cover pre-existing conditions as these large company plans generally do, this will benefit most non-partisan citizens.