H. Con. Res. 100 (111th)Bill Overview

Support State Innovation in National Health Care Reform

Concurrent ResolutionHealth|HealthHealth care costs and insurance
Cosponsors
Support
Bipartisan
Introduced
Apr 21, 2009
Discussions
Bill Text
Current stageCommittee

Referred to the Subcommittee on Health.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Concurrent ResolutionWhat this resolution actually does

This resolution is a nonbinding statement adopted by both chambers expressing support for giving States flexibility in national health care reform. It asks Congress to include provisions in future health reform laws that promote State innovation, flexibility, and incorporation of certain State-focused principles. It does not create law, does not require the President's signature, and serves as guidance or consensus on legislative goals.

Passage rules

Concurrent resolutions must be agreed to by both the House and the Senate but are not presented to the President and do not have the force of law; they formally express the collective position of Congress and can guide future legislation. This resolution simply expresses congressional support for including State-innovation provisions in upcoming health reform bills.

This concurrent resolution expresses Congress's support for facilitating State innovation within national health care reform.

It urges that national reform legislation recognize States as innovators, allow State flexibility to meet national goals, enable States to expand and improve upon reforms, and incorporate principles from the Health Partnership Act and Creative Federalism proposals.

The resolution is nonbinding and declaratory, asking that federal legislation include provisions to promote State-centered approaches.

Passage0/100

As a concurrent resolution the measure is non-binding and does not create law; it can only influence later statutory language.

CredibilityAligned

Relative to its intended legislative type, this bill effectively articulates a clear purpose and high-level principles to guide future legislation but remains intentionally non-specific about mechanisms, timelines, fiscal effects, statutory changes, accountability, and safeguards.

Contention32/100

Progressives worry about equity and national minimum standards

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Local governments · Permitting processStates · Permitting process

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Local governmentsEncourages State experimentation that could produce locally tailored health care models and best practices.
  • Local governmentsMay increase State buy-in and political support for national reform by allowing local adaptations.
  • Permitting processAllows States to implement reforms faster when national law permits flexible approaches.
Likely burdened
  • StatesCould produce unequal coverage levels and benefits across States, raising equity concerns.
  • StatesMay shift costs and responsibilities to States, increasing state budget pressures and possible tax rises.
  • Permitting processCould permit States to weaken consumer protections or restrict access compared to national standards.
03 · Why people split

Why the argument around this bill splits.

Progressives worry about equity and national minimum standards
Progressive65%

Likely supportive of efforts to improve coverage but cautious about too much state flexibility undermining national protections.

Sees value in testing reforms at the State level, yet wants guarantees for universal access, equity, and civil rights safeguards.

Split reaction
Centrist80%

Generally favorable: views the resolution as pragmatic and bipartisan, promoting experimentation while keeping national goals.

Wants clear accountability, measurable outcomes, and limits on unintended cost-shifting between levels of government.

Leans supportive
Conservative85%

Likely supportive because it emphasizes State sovereignty, flexibility, and innovation rather than centralized federal control.

Views the resolution as limiting one-size-fits-all federal mandates and promoting market- or State-driven solutions.

Leans supportive
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood0/100

As a concurrent resolution the measure is non-binding and does not create law; it can only influence later statutory language.

Scope and complexity
52%
Scopemoderate
24%
Complexitylow
Why this could stall
  • Whether language will be incorporated into binding statutory health legislation
  • How stakeholders will interpret and respond to 'flexibility' provisions
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Progressives worry about equity and national minimum standards

As a concurrent resolution the measure is non-binding and does not create law; it can only influence later statutory language.

Unlocked analysis

Relative to its intended legislative type, this bill effectively articulates a clear purpose and high-level principles to guide future legislation but remains intentionally non-specific about mechanisms, timelines, fisc…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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