New Initiatives in Financing and Delivering Health Care for the Medically Indigent: Report on a Conference

Goldsmith J. , Death of a Paradigm: The Challenge of Competition, Health Affairs 3(3):5, 19 (Fall 1984); see Ginsburg P. Sloan F. , Hospital Cost Shifting, New England Journal of Medicine 310(14): 893 (April 5, 1984).

Altman D. Morgan D. , The Role of State and Local Government in Health, Health Affairs 2(4):7, 8 (Winter 1983).

Goldsmith , supra note 1, at 8–9.

Conference materials for the Dec. 5-6, 1984, conference are available from the Academy for State and Local Government, 444 North Capitol St., Washington, D.C. 20001. The conference was supported by the Robert Wood Johnson Foundation, the Commonwealth Fund, and the Piton Foundation.

Luehrs J. Desonia R. , A Review of State Task Force and Special Study Recommendations to Address Health Care for the Indigent (Intergovernmental Health Policy Project, Washington, D.C., November 1984).

Swartz K. , “The Changing Face of the Uninsured,” presentation to the Association for Health Services Researchers, June 11, 1984.

Kasper J. Walden D. Wilensky G. , Who Are the Uninsured? Data Preview 1 (1980) (National Center for Health Services Research).

Wilensky G. Walden D. , “Minorities, Poverty, and the Uninsured,” presentation to the annual meeting of the American Public Health Association, November 1981.

Monheit A. , The Employed Uninsured and the Role of Public Policy, Inquiry 22:348, 350 (Winter 1985).

Berk M. , Health Care of the Working Poor (National Center for Health Services Research, October 1984).

Congressional Budget Office, Catastrophic Medical Expenses: Patterns in the Non-Elderly, Non-Poor Population (Washington, D.C., 1982), at 22.

Farley P. , Who Are the Underinsured? Milbank Memorial Fund Quarterly 63(3):476, 493 (Summer 1985).

Bartlett L. , Public Policy Options to Improve Access for the Medically Indigent, in Access to Care for the Medically Indigent: A Resource Document for State and Local Officials ( Curtis R. , ed.) (Academy for State and Local Govenment, Washington, D.C., December 1984), at 69.

Aday L. Anderson R. , The National Profile of Access to Medical Care: Where Do We Stand? American Journal of Public Health 74(12):1331, 1337 (December 1984).

Blendon R.J. Rogers D.E. , Cutting Medical Care Costs, Journal of the American Medical Association 250(14):1880, 1883 (Oct. 14, 1983).

Starfield B. , Family Income, Ill Health, and Medical Care of U.S. Children, Journal of Public Health Policy 3(3):244, 250 (September 1982).

Blendon and Rogers , supra note 5, at 1883.

Starfield , supra note 16, at 245–46.

Davis K. Rowland D. Uninsured and Underserved: Inequities in Health Care in the United States, Milbank Memorial Fund Quarterly61(2):149, 157 (Spring 1983).

U.S. Dept. of Commerce, Bureau of the Census, Money Income and Poverty Status of Families and Persons in the U.S., 1982 (July 1983).

Pear R. , Decline Slowing for Death Rate of U.S. Infants, New York Times, Feb. 24, 1985, p. 1, col. 1; p. 22, col. 1.

Luehrs and Desonia , supra note 5.

Davis and Rowland , supra note 19, at 161.

Colorado Task Force on the Medically Indigent, Colorado's Sick and Uninsured: We Can Do Better, at 6, and Colorado Health Survey, at 26, 28 (Piton Foundation, Denver, Feb. 1984).

Butler P. , Legal Obligations of State and Local Governments for Indigent Health Care, in Access to Care for the Medically Indigent: A Resource Document for State and Local Officials ( Curtis R. , ed.) (Academy for State and Local Government, Washington, D.C., December 1984), at 13.

Bartlett , supra note 13, at 57–64.

Feder J. Hadley J. Mullner R. , Falling Through the Cracks: Poverty, Insurance Coverage, and Hospital Care for the Poor, 1980 and 1982, Milbank Memorial Fund Quarterly 62(4):544, 545 (Fall 1984).

Feder J. Hadley J. Mullner R. , Poor People and Poor Hospitals: Implications for Public Policy, Journal of Health Politics, Policy, and Law 237 (Summer 1984).

Lewin M. Lewin L. , Health Care for the Uninsured, Business and Health 1:9 (1984).

1984 Health Care Access Act, Fla. Gen. Stat. Ch. 84-35 (1984).

SB 268 and HB 1424, West Virginia (1985); HB 2118, South Carolina (1985).

Governor's Commission on Ohio Health Care Costs, Final Report (Columbus, July 1984), at 73–78.

SB 789, Texas 1985.

See, e.g., Cummings and Smith, Financing Indigent Care; Public Problem, Private Responsibility, Federation of American Hospitals Review (March/April 1985) at 52.

Bartlett , supra note 13, at 60–61.

Id.

Monheit , supra note 9, at 354.

29 U.S.C. §1144(a)(1974) (supersedes all state law) Standard Oil of California v. Agsalud, 633 F.2d 760 (9th Cir. 1980), aff'd 454 U.S. 801 (1982). This interpretation of ERISA was recently reaffirmed in Metropolitan Life Insurance Co. v. Massachusetts, 53 U.S.L.W. 4616 (1985), where the Court held that states may mandate insurance benefits to be offered by insurance carriers because ERISA specifically reserves to states the power to regulate the “business of insurance.” The law expressly prohibits states from regulating “employee health and welfare plans,” which the Court in Agsalud read to preclude a requirement that employers provide insurance to workers.

National Conference of State Legislatures, Health Priorities for 1985 (Denver)

Bartlett , supra note 13, at 70.

Reimer D. , Insuring Wisconsin's Uninsured, in Access to Care for the Medically Indigent: A Resource Document for State and Local Officials ( Curtis R. , ed.) (Academy for State and Local Government, Washington, D.C., December 1984), at 1–1.

Wilensky G. , Soiling Uncompensated Hospital Care: Targeting the Indigent and Uninsured, Health Affairs 3(4):50, 57–58 (Winter 1984).

See Christianson J.B. Hillman D.G. Smith K.R. , The Arizona Experiment: Competitive Bidding for Indigent Medical Care, Health Affairs 23:87 (Fall 1983).

Freeman H. Kirkman-Liff B. , Health Care under AHCCCS: An Examination of Arizona's Alterative to Medicaid, Health Services Research 20(3):245, 252–54 (August 1985).

Hansen S. , Kansas’ Medical Coverage Programs for the Poor: A Targeted Approach Through State-Financed and State-Administered Programs, in Access to Care for the Medically Indigent: A Resource Document for State and Local Officials ( Curtis R. , ed.) (Academy for State and Local Government, Washington, D.C., December 1984), at E-1.

Brumback C. , The Delivery of Health Care to the Indigent Population: A Case Study of Palm Beach County, Florida, in Access to Care for the Medically Indigent: A Resource Document for State and Local Officials ( Curtis R. , ed.) (Academy for State and Local Government. Washington, D.C., December 1984), at D-1.