HHS announced an additional $200 million available to the states to implement effective Rate Review processes for Health Insurance premium increases. Currently, if there is an excessive increase (defined as 10% or greater), if the state does not have a review process, the increase will go to the HHS. However, HHS does not have the power to deny a rate increase. That said, HHS has a huge stick it can use by refusing to allow carriers to participate in exchanges in 2014. So, not many insurers will be excited to get into a battle with HHS over “excessive increases”.