The Affordable Care Act expands review of proposed insurance premium increases – but does not allow Washington to reject increases. Some states have rate-setting powers. Others merely review the rates but cannot reject them. If states don’t review the rates in the individual or small group market, the federal government can. Up to $250 million will be available to states to help beef up review. Here is a list of the states that are conducting reviews, and the states where the federal government is stepping in. (Source: CCIIO/HHS, updated Feb. 16, 2012)