Benefit Design and Marketing for Individual Health Insurance Products: “Life Stage” Strategies for Health Plans; New HSA ‘Grab Bag’ Guidance: Bottom-Line Impact on Health Plans, Employers and Banks; Winning Strategies for MA Plans and PDPs Under the Mid-July Medicare Law


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Comprehensive Federal Bills Introduced in the 110th Congress

State-Based Health Care
Reform Act
(S. 1169)

Senator Feingold (D-Wisconsin) and cosponsored by Senator Graham (R-South Carolina)

The following is a summary of the State-Based Health Care Reform Act. To review the status of the bill, visit Thomas.gov.

The State-Based Health Care Reform Act would launch pilot programs in several states to achieve coverage in the best way they see fit. States could use health savings accounts, single payer systems, expansion of current programs, or adopt completely new ideas in their efforts to cover the uninsured. States will only have to meet minimum baseline requirements. The bill is designed to break the political stalemate in Congress over health care reform through a state-based approach.

Among the key features of the legislation:

  • Participating states would not be required to adopt a certain prescribed program. States would be given maximum flexibility to achieve coverage and must meet only certain basic standards.
  • The pilot program would last for five years and is funded through a grant application program overseen by a Health Care Coverage Task Force. The Task Force would evaluate state applications, select projects for Congressional approval, oversee implementation and review progress.
  • The Task Force would be authorized to select as many states as can be funded. They would make recommendations to Congress at the end of the grant period on which programs should be enacted into law. Congress would then take up the recommendations through an expedited procedure.
  • The multi-state pilot program could cost up to $40 billion over ten years and is fully paid for through offsets.


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