This brief examines state efforts to prepare for national health reform implementation in Connecticut, Massachusetts, Michigan, North Carolina, and Washington.  The brief highlights state-level concerns over the staffing and financing needed to properly implement health reform.

From the report:

In the summer of 2010, states were intensely engaged in the first stages of work associated with the federal health care reform law, the Patient Protection and Affordable Care Act (ACA). ACA includes a major coverage expansion through Medicaid and new Health Insurance Exchanges, and much of ACA will be implemented by the states. While states were turning to ACA, they were still facing severe fiscal pressures related to the recession which have resulted in major cutbacks in programs and state workforce.

Full Report: Staying On Top Of Health Reform: An Early Look At Workforce Challenges in Five States (PDF | 804 KB)   

Kaiser Family Foundation. (2010). Staying on top of health reform: an early look at workforce challenges in five states.