It’s not just the federal government that wants a say in twoproposed mega-mergers in the health care industry.

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Fifteen state attorneys general are joining a federal probe intoAetna’s plans to buy Humana and Anthem’s plans to acquire Cigna.

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Sources have told Reuters that authorities from Connecticut,Florida, Massachusetts, Tennessee and Iowa are investigating themergers, which have both been approved by shareholders but arestill awaiting approval from federal regulators. Reuters couldn’ttrack down the other 10 states involved.

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Those five states offer an interesting glimpse at the bipartisanconcerns of an uncompetitive insurance marketplace. The attorneysgeneral for Florida and Tennessee are both Republicans, while thosefor the three other states are Democrats.

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Because each state is a separate insurance market, theincreasing consolidation of insurers could have an outsized impactin certain states.

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Read: Will PPACA's future be decided by 2carriers?

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For now, the insurers are projecting confidence in the process.Anthem CEO Joseph Swedish told Reuters that he welcomed theparticipation of state authorities in the review of themergers.

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“The states created this path with the DOJ (Justice Department)to promote education, engagement. They develop a lot of insights sothat when the DOJ does rule, our work with all of these states isprobably enhanced quite a bit because we are not starting fromscratch,” he said.

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Aetna released a similar statement: "We are confident that ourtransaction will receive a fair, thorough and fact-based reviewfrom the Department of Justice and the states,” it said.

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A number of influential groups have expressed skepticism, if notoutright opposition, to the proposed deals. The American MedicalAssociation has urged the federal government to block both deals,arguing that the future market share of the newly-formed companiesin 97 metropolitan areas and 17 states would exceed that allowed byfederal anti-trust guidelines.

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So far, Hillary Clinton, the leading Democratic candidate forpresident, has voiced concerns but stopped short of calling for theJustice Department to kill the deal.

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