A Comparison of the Effects of the 1978 and 2005 Bankruptcy Reform Legislation

The Affordable Care Act (ACA) is the most significant health reform legislation enacted in generations. However, politics does not end after a bill is signed into law. This chapter outlines why states were given such a prominent role in the implementation of core elements of the ACA, including the health insurance exchanges. This sets the stage for the question of this book: given that state leaders say they want flexibility and that Republicans say they prefer market-oriented reforms, why did so many states reject state control over exchanges? I outline the four main insights from the case study chapters: (1) the importance of governors, (2) the power of the Tea Party, (3) the ways in which differences in institutional design and procedures shaped policy outcomes, and (4) the importance of leadership. I ask whether this episode supports or undermines the federalism notion of states as laboratories of learning.

Regulatory reform legislation

Environmental Science & Technology ◽

10.1021/es00107a720 ◽

1983 ◽

Vol 17 (1) ◽

pp. 23A-23A

Keyword(s):

Regulatory Reform ◽

Reform Legislation

Historic, long-awaited mental health reform legislation poised to become law

Mental Health Weekly ◽

10.1002/mhw.30856 ◽

2016 ◽

Vol 26 (47) ◽

pp. 1-4

Author(s):

Valerie A. Canady

Keyword(s):

Mental Health ◽

Health Reform ◽

Mental Health Reform ◽

Reform Legislation

Specialty, Political Affiliation, and Perceived Social Responsibility Are Associated with U.S. Physician Reactions to Health Care Reform Legislation

Journal of General Internal Medicine ◽

10.1007/s11606-013-2523-0 ◽

2013 ◽

Vol 29 (2) ◽

pp. 399-403 ◽

Cited By ~ 16

Author(s):

Ryan M. Antiel ◽

Katherine M. James ◽

Jason S. Egginton ◽

Robert D. Sheeler ◽

Mark Liebow ◽

...

Keyword(s):

Health Care ◽

Social Responsibility ◽

Health Care Reform ◽

Political Affiliation ◽

Reform Legislation

Congress Focuses on Mammography and Health Care Reform Legislation

JNCI Journal of the National Cancer Institute ◽

10.1093/jnci/86.14.1050 ◽

1994 ◽

Vol 86 (14) ◽

pp. 1050-1052

Author(s):

D. A. Tisevich

Keyword(s):

Health Care ◽

Health Care Reform ◽

Reform Legislation

Expectations for health care reform legislation

Orthopaedic Nursing ◽

10.1097/00006416-199501000-00023 ◽

1995 ◽

Vol 14 (1) ◽

pp. 89

Author(s):

Kathleen Smith

Keyword(s):

Health Care ◽

Health Care Reform ◽

Reform Legislation

Service Providers' Perception of Factors that Help or Hinder Homeless Families

Families in Society The Journal of Contemporary Social Services ◽

10.1606/1044-3894.1815 ◽

1998 ◽

Vol 79 (2) ◽

pp. 160-172 ◽

Cited By ~ 17

Author(s):

Elizabeth W. Lindsey

Keyword(s):

Welfare Reform ◽

Service Providers ◽

Social Supports ◽

Homeless Shelter ◽

Homeless Families ◽

Southern States ◽

Reform Legislation ◽

Significant Barrier

Homeless shelter directors in two southern states were surveyed to ascertain their perceptions of factors that help or hinder homeless, mother-headed families in emerging from homelessness. Respondents believed that mothers' attitudes and motivation were the most important factors in getting and keeping housing and that lack of social supports and relationship difficulties were the most significant problems families faced in their attempts to emerge from homelessness. Scarce housing was seen as the most significant barrier within the community. The findings are compared with findings from other studies, and explanations for differing results are presented. The author discusses the implications of the findings for service providers and communities in light of recent welfare-reform legislation.