Revenue Cycle

Maryland health insurance bill may not succeed in other states

Patient Financial Services Weekly Advisor, January 20, 2006

Successful legislation in Maryland requiring the state's largest employers, such as Wal-Mart Stores, to spend at least 8% of their payrolls on healthcare may not result in a national domino effect as previously supposed, reports the New York Times.

The legislation appeared to be a monumental step in lowering the nation's growing uninsured population, now at 46 million. But analysts say that legislation in 30 other states may not pass because those bills are written much more broadly and will probably draw opposition from companies who watched the Maryland debate closely.

Maryland's bill applies to companies of 10,000 or more employees in the state. Only Wal-Mart Stores falls into that category. Wal-Mart insures fewer than half of its 1.3 million employees in the United States.

Other states strongly considering a similar bill are Rhode Island, Colorado, Washington, and New Hampshire.

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