Abstract
The report investigates how the health safety net has changed since the implementation of federal welfare reform. It finds that the combination of rising numbers of uninsured and the growing penetration of managed care is undermining the ability of health care providers, especially hospitals, to continue to provide care to the uninsured. Nine findings relating to changes to Medicaid, HIPAA, employer-sponsored coverage, and long-term care dominate the study's portrait of state health policy.
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