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Premiums on California’s exchange will rise only 4.2% next year, due in large part to active purchasing. Overall health spending is expected to rise 6.2% next year. Through active purchasing, CA’s exchange negotiates premiums with insurers to get the best deal for consumers. Connecticut’s exchange does not negotiate premiums on behalf of consumers. CT’s insurance department has pushed back on double digit requested increases by insurers on the exchange, but the exchange itself does not address rates or affordability. Premiums on CT’s exchange this year are the4th highest in the nation and the highest among state-based exchanges.