New NASHP Publications

Many critical aspects of federal health reform will be implemented by the states.  Through program design, regulations, policies and practices, state decisions and actions already play a profound role in shaping the American health care system.  Both the House and Senate reform proposals would dramatically change the federal structure within which state health policy operates.  Part I of this State Policymakers’ Guide provides a high-level view of existing state roles in the health care system and how federal reform will affect those roles.