| Plan |
Baldwin Health Care Partnership Through Creative Federalism H.R. 506 | |
| Date |
January 2007 | |
| Overall Approach |
Provides grants for competing state reform efforts | |
| Universal Coverage |
No | |
| Guaranteed Coverage |
No | |
| Portability |
Plans vary by state | |
| Voluntary Employer-Based System |
Plans vary by state | |
| New Programs |
Authorizes State Health Expansion and Improvement Grants to individual states, groups of states, or portions of states to carry out any of a broad range of strategies to increase health care coverage
Creates State Health Innovation Commission to approve State Health Care Expansion and Improvement applications | |
| Expansion of Existing Public Programs/Federal Law |
Plans vary by state | |
| Insurance Pool |
Creation of pooling arrangements one option available for implementation at the state level | |
| State Responsibility |
Authorizes grants to individual states, groups of states, or portions of states to carry out any of a broad range of strategies to increase health care coverage.
States Health Care Expansion and Improvement Programs could include a variety of reform options, including tax credit approaches, expansions of public programs such as Medicaid and the State Children's Health Insurance Program, the creation of purchasing pooling agreements like the FEHBP, individual market purchasing options, single risk pool or single payer systems, health savings accounts, other options, or a combination of options.
Participating states must commit to specific reductions in the number and percentage of the uninsured
States are required to report their progress on a yearly basis | |
| Individual Mandate |
Plans vary by state | |
| Employer Mandate |
Plans vary by state | |
| Private Insurance Mandates |
Plans vary by state | |
| Individual Subsidies |
Plans vary by state | |
| Individual Vouchers |
Plans vary by state | |
| Employer Subsidies |
Plans vary by state | |
| Individual Plan/Provider Choice |
Plans vary by state | |
| National Health Board |
Yes | |
| Tax Changes |
Tax credits among several options that could be utilized by State Health Care Expansion and Improvement Programs | |
| Premium/Co-Pay/Deductible |
Plans vary by state | |
| Health Quality Improvement |
State health care plans must be designed to increase coverage, show improvements in quality, efficiency, cost-effectiveness, and the appropriate use of information technology | |
| Information Technology / Electronic Medical Records |
State plans may describe efforts to improve the appropriate use of health information technology | |
| Individual Responsibility for Health and Lifestyle |
Not addressed | |
| Preventive care |
Plans vary by state | |
| Transparency |
Plans vary by state | |
| Drug Reimportation |
No | |
| Medicare Rx Drug Price Negotiation |
No | |
| Medical Personnel Education |
Plans vary by state | |
| Mental Health Parity |
Plans vary by state | |
| Other Provisions |
State Health Innovation Commission required to report on the program and make recommend future action for overall reform after 5 years
Prohibits states from changing eligibility criteria for state medical assistance programs; or permitting the imposition of any preexisting condition exclusion for covered benefits, with exceptions | |
| Cost |
Not addressed | |
| Cost Containment |
State plans must describe steps the State may undertake to improve the efficiency of health care
Allocations to the State linked to the meeting of the goals and performance measures relating to health care coverage and health care costs | |
| Financing |
Not addressed | |
| Source |
H.R. 506 - CRS Summary, Library of Congress - Thomas Website, Jan. 17, 2007
H.R. 506 - Bill Text, Library of Congress - Thomas Website, Jan. 17, 2007 | |
