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Innovations were limited to health savings accounts fkorida, medical savings accounts or flexible spending accountswhich increased insurance options, but did not materially expand coverage. Health care was marrketplace major factor in multiple elections, but marketplace insurance floridaneither party had the votes to overcome the other's opposition.

The concept of an individual mandate goes back to at leastwhen The Heritage Foundationindividual michigan insurance health conservative think-tank, proposed an individual mandate as an alternative to single-payer health care. Specifically, because the Emergency Medical Treatment and Active Labor Act EMTALA requires any hospital participating in Medicare nearly all do to provide emergency care to anyone who needs it, the government often indirectly bore the cost of those without the ability to pay.

President Bill Clinton proposed a major healthcare reform bill in [] marketplace insurance florida ultimately failed. Republican senators proposed an alternative that would have required individuals, but not employers, to buy insurance. The Republican Health Equity and Access Reform Today HEART Actcontained a "universal coverage" requirement medicaid sign up a penalty for noncompliance-an individual mandate-as well as marketplace insurance florida to be used in state-based 'purchasing groups'.

Main article: Health insurance coverage in the United States. See also: History marketplace insurance florida insurance. Main article: Medicare United States. Main article: Medicare Advantage. Main article: Medicare Part D.