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The new law requires that the administration review premium increases annually, beginning this year.
"We believe that insurance commissioners should have rate approval authority and will continue to support states' efforts to review premium increases and protect consumers," she said.
Mr Obama's reform includes similar provisions, with a plan to review premium increases above 10% and a programme to reward hospitals and doctors for providing good, inexpensive care.
"And there is now a process where the federal government as well as states will review premium increases to determine their reasonableness".
Consumers also saved $2 billion in 2012, because of programs to review premium rates and to require insurers to provide rebates if they do not spend at least 80% of premiums on care, rather than overhead, such as executive pay and marketing.
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Mr. Harkin praised a bill introduced by Senator Dianne Feinstein, Democrat of California, that would give the secretary of health and human services the power to review premiums and block "any rate increase found to be unreasonable".
Mr. Harkin praised a bill introduced by Senator Dianne Feinstein, Democrat of California, that would give the secretary of health and human services the power to review premiums and block "any rate increase found to be unreasonable". Under the bill, the federal government could regulate rates in states where state officials did not have "sufficient authority and capability" to do so.
California officials review premiums but have no authority to stop health insurance rate increases.
In about one-third of the states the consultancy reviewed, premiums will almost double.
"Simply capping administrative costs and reviewing premiums doesn't get at the main drivers of health-care costs and thus health insurance premiums," says Zirkelbach.
Did it review the premium and reduce it to reflect the prices that other people were paying in the market?
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