Role of States in National Health Care Reform
Much of the failure or success of federal health reform will depend on the ability of states to implement its key provisions. NASHP strives to help state policymakers understand the implications of federal reforms and the sometimes complex implications of seemingly simple federal provisions. We are building tools to facilitate and accelerate peer-to-peer learning among states implementing federal reform provisions. We also cultivate opportunities to make state perspectives heard in Washington, where implementation guidelines are being developed.
Our work is generously supported by the Robert Wood Johnson Foundation, The Commonwealth Fund, David and Lucile Packard Foundation, Public Welfare Foundation, and The Scan Foundation.
Alan Weil’s California Health Hearing Testimony As Delivered May 2010
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
