Rate review efforts stepped up: Preliminary results indicate the new tools offered by the Affordable Care Act appear to be helping to slow down premium growth. In Connecticut, for instance, existing State authority bolstered by Federal resources from the Act led the State Insurance Commissioner to reject a proposed percent premium increase by the State’s largest insurer that would have raised costs for 48,000 consumers. This year, the Connecticut legislature is considering increasing its rate review authority in part because of the law’s new resources and standards. 28 Heightened scrutiny of rate.