209612 Translation of state health reforms into new federal policies

Tuesday, November 10, 2009: 12:30 PM

Christie L. Hager, JD, MPH , School of Public Health, Harvard University, Boston, MA
The prospect for national health reform brightened with the inauguration of a new Administration focused on expanding health coverage and the success of a number states that have implemented a range of reforms over the past several years. In light of recent economic stimulus legislation, debate has been ongoing as to whether health reform is achievable in the current economy, how consensus can be developed among uneasy stakeholders, and of what reform should consist at this time. Evaluations of enacted state reforms have informed financial negotiations between states and the federal Medicaid program, as states have sought to maintain such support. At the same time, a vibrant policy debate at the federal level is considering significant change to the federal government's role in expanding access to health coverage. Maine, Vermont, and Massachusetts represent comprehensive efforts at expanding access, while several other states have achieved reforms that include such components as prevention and wellness, private insurance market innovation, and small employer participation. A review of implemented state-level reforms will connect the policy and politics of states with reforms in progress to federal changes either under discussion in or enacted by Congress.

Learning Objectives:
Describe types of health reforms proposed or enacted by states. Assess the policy and political achievability of various types of reforms at the federal level. Define terms in legislation and administration of various types of health reforms. Name the stakeholders of health reform at the state and national levels, and describe their respective interests.

Keywords: Health Reform, Health Law

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I served as the Chief Health Counsel to Speaker of the Massachusetts House of Representatives during the development and enactment of the 2006 Massachusetts Health Reform Law. I have authored peer-reviewed articles and a text book section on topics such as state health reform, the practice of law in the legislature, and have presented at several prior APHA and other national and invitational conferences on the topic.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.