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Health Care in Hawaii: Implications for National Reform

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Report Type Reports and Testimonies
Report Date Feb. 11, 1994
Report No. HEHS-94-68
Subject
Summary:

For nearly 20, years, Hawaii has been a leader in the effort to achieve universal access to health insurance. It is the only state that requires employers to provide a minimum level of health insurance benefits to employees, and its public programs cover many residents lacking employment-based insurance. GAO makes several points. First, Hawaii's employer mandate did not have a harmful effect on small businesses. Second, although Hawaii's system of near-universal access has lowered health premiums, its per capita health care costs have risen at a rate similar to the national average. Third, Hawaii's experience suggests that an employer mandate by itself will not necessarily result in universal access to health care. GAO summarized this report in testimony before Congress; see: Health Care in Hawaii: Implications for National Reform, by Mark V. Nadel, Associate Director for National and Public Health Issues, before the House Committee on Small Business. GAO/T-HEHS-94-123, Mar. 16, 1994 (11 pages).

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