Minnesota hasn't made big changes in its health care system. Minnesota continues to build on the strong system that it has in place by expanding coverage to new populations and by refining its service delivery strategies. Most notably, Minnesota has efforts underway to expand health care coverage for elderly and disabled persons, to reshape its long-term care system to meet the needs of an aging population at lower costs, to control prescription drug costs for elderly and disabled persons, and to implement quality initiatives for health plans participating in public programs. Minnesota's health care efforts have been bolstered by high levels of employer-sponsored health insurance coverage, a substantial tobacco settlement, and a commitment from elected officials and the public to the state's considerable health care system.