The latest round of state-level reforms, most of them enacted or proposed in 2006, has presented a variety of approaches to covering the uninsured, including new mechanisms to subsidize coverage for low-income families, new variations on employer and personal responsibility for health insurance coverage, and new strategies to facilitate the purchase of insurance for small businesses and for individuals without access to employer-sponsored insurance. The boldest state-level efforts aim at comprehensive (near-universal) coverage, while others focus on incremental approaches such as providing coverage for children or public-private partnerships to insure low income workers. National solutions are unlikely to emerge in the foreseeable future, but the concept of federally supported state experimentation is being seen as a promising way to make progress.
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