State insurance commissioners from Tennessee Department of Commerce and Insurance Commissioner Julie Mix McPeak, from left; Washington State Insurance Commissioner Mike Kreidler; Alaska Division of Insurance Director Lori Wing-Heier and Insurance Commissioner of Pennsylvania Theresa Miller testify during a Senate Health, Education, Labor, and Pensions Committee hearing on the individual health insurance market for 2018 on Capitol Hill in Washington, Wednesday, Sept. 6, 2017.   (AP Photo/Manuel Balce Ceneta)