Officials in Washington state currently ban citizens from buying health insurance in other states, forcing consumers to choose among a handful of in-state insurers. They also require individual health insurance plans sold in Washington to contain 58 different benefit and provider mandates. Each mandate adds a small incremental cost to the plan, as little as 0.5%, but added together state mandates drive up the cost of health coverage significantly. A total of 58 mandates can increase the price of health insurance by 20 to 25%. Legislation has been introduced that would end Washington’s ban on buying health insurance in other states. Lifting the ban would permit Washington residents to shop for family and individual health coverage across state lines based on price, quality and choice.