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Health Care in Hawaii: Implications for National Reform

  Premium   Download PDF Now (12 pages)
Report Type Reports and Testimonies
Report Date March 16, 1994
Report No. T-HEHS-94-123
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.

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