[20030121]RS21393_未参保人群的国家健康保险计划.pdf

Congressional Research Service The Library of CongressCRS Report for CongressReceived through the CRS WebOrder Code RS21393January 21, 2003State Health Insurance Programs for the UninsuredJean HearneSpecialist in Social LegislationDomestic Social Policy DivisionSummaryIn 2002, six states (Arizona, Massachusetts, Minnesota, New York, Pennsylvania,and Washington) and the District of Columbia offered state-only health insuranceprograms covering about 238,000 people. About one-half of those individuals,however, were in one states program Washingtons Basic Health Plan. All but oneof those programs directly provides for health insurance coverage of its enrolleesthrough arrangements with providers, insurers, or managed care organizations. Threeof those programs also offer subsidies to help pay for employer-provided insurancewhen enrollees have such coverage available. New Yorks “Healthy NY” is a re-insurance program in which the state contracts with certain insurance companies toprovide coverage for the programs participants. Then the state shares in the cost ofenrollees health care services by paying for the costs of claims falling within an agreed-upon specified range, in this case betw