Insurers and employers say a generous waiver
process is needed to avoid a sudden jump in premiums. But patient
advocates, such as California-based Consumer Watchdog, warn against
being too lenient. All sides are pressing their cases with the <a href="http://content.usatoday.com/topics/topic/Organizations/Companies/Health+and+Medicine/United+States+Department+of+Health+and+Human+Services" title="More news, photos about Department of Health and Human Services">Department of Health and Human Services</a>
(HHS), which is writing the rules on the waiver process but has not
specified what they will say or when they'll be in place. It's not clear
yet whether waivers could continue after 2014. HHS said details on the
process are under development, and declined to elaborate.