Since 2003, at least three states - Maine,
Vermont, and Massachusetts
- and the city of San Francisco
have enacted legislation with the express goal of ensuring all residents have
access to health care coverage. All of these initiatives, particularly those in Maine and Vermont,
pursue a comprehensive approach to reform - addressing cost, quality, and
access. These efforts have spurred action in other states, where lawmakers in Colorado, Washington, New York, Wisconsin, and elsewhere learn from and build on the experience of early leaders. This section discusses priorities for comprehensive reform, the road to reform, and model initiatives in key states, specifically Wisconsin.