Studying why health care interests are successful in blocking action on the federal, but not state, level and why only some states have been reformers

The Foundation's Investigator Awards in Health Policy Research Program was designed to support highly qualified individuals to undertake broad studies of the most challenging policy issues in health and health care facing America.The purpose of this project is to examine an important puzzle concerning interest groups and health care reform. While the same set of interests are present at both national and state levels, they have forestalled final action in Congress time and again, while some states have enacted a number of reforms. The following questions will be raised: (1) why are health care interests successful in blocking action on the federal level, but not at the state level; and (2) why have some states been reformers and some not? The project will examine the structure of the health interest group communities of the 50 states--why are they composed as they are, and how does the variation in the composition compare to the composition of the federal interest community? Attention to states allows analyzing co-variation in interest group behavior and policy outcomes. The results will be useful for health policymakers, policy advocates, and scholars in health policy and political science. The final product will be several scholarly articles and a book.

Grant Details

Amount Awarded $274,387.00

Awarded on: 5/13/2003

Time frame: 7/1/2003 - 9/30/2006

Grant Number: 47727


University of North Carolina at Chapel Hill College of Arts and Sciences

205 South Building
Campus Box 3100
Chapel Hill, 27599-3056


Virginia H. Gray
Project Director