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This report presents basic background on health insurance that may be useful to legislators considering health insurance reforms.

Medicaid is jointly financed by the federal and state governments, but each state designs and administers its own state program under broad federal guidelines. Accordingly, state variation in eligibility, covered services, and the delivery of, and reimbursement for, services is the rule rather than the exception. How is Congress to respond to the numerous proposals to move Medicaid forward into the near and long term? This report lays out some of these issues, explains the factors underlying them, and provides links to CRS products that can help Members of Congress and their staff prepare to discuss Medicaid's role today and into the future.

This report describes H.R. 525/S. 406 and S. 1955 which focus on assisting small employers with offering health insurance to their workers.

State policymakers have been concerned about the uninsured for a number of years and have pursued many strategies to help expand health care coverage. To understand the strategies undertaken by states and their successes and failures, CRS contracted with the Institute for Health Care Research and Policy at Georgetown University to conduct a 50 state survey. The findings of that survey are presented here.

The Health Insurance Portability and Accountability Act of 1996 guarantees the availability and renewability of health insurance coverage for certain individuals. It permits a limited number of small businesses and self-employment individuals to establish tax-favored medical savings accounts, increases the tax deduction for health insurance for the self-employed, and amends the Internal Revenue Code to treat private long-term care policies the way health insurance policies and health care expenses are currently treated.

This report discusses enacted legislation as well as other proposed bills to show the scope of options considered by the 107th Congress. Many of these approaches will likely be considered again by the 108th Congress as it deals with issues raised by the legislation, including affordability, populations impacted, gaps in coverage and state participation.

This report discusses the following: Medicaid's rules on eligibility, benefits, and financing in the context of current questions and issues raised by Hurricane Katrina. Recent state actions in response to Medicaid issues raised by the hurricane. Federal Medicaid waiver authority, including information on current activity in this area and the New York Disaster Relief Medicaid waiver granted in response to the September 11 terrorist attacks. Current federal legislation related to Medicaid and Hurricane Katrina relief efforts.