Overview The Oregon Health Plan (OHP) is a Medicaid program that was initiated in 1993 (Oregon Health Authority, 2015). The minimum eligibility requirement for enrollment in OHP is to be an Oregon resident. Its coverage level is contingent on a set of conditions, such as applicant’s age, state of mental and physical health, and income. OHP is comprised of two packages: OHP Standard and OHP Plus (Oregon Health Authority, 2015). OHP Standard is a benefits package offered to those adults who do not have medical insurance and do not meet eligibility requirements for Medicaid. Even though it requires monthly premiums, co-payments were eliminated (Oregon Health Authority, 2015). Unlike OHP, Standard OHP Plus offers full benefits for those adults who are eligible for Medicaid and children eligible for the Children’s Health Insurance Program (Oregon Health Authority, 2015). SustiNet is an affordable healthcare plan that became available for Connecticut residents in 2014 (Manthous & Sofair, 2014). It covers the healthcare needs of “existing state-sponsored populations, state employees and retirees as well as Medicaid and HUSKY beneficiaries.” (SustiNet Health Partnership, 2011). It also offers insurance for private employers, with a focus on small businesses and non-profit organizations. Connecticut municipalities and private individuals are also eligible for SustiNet (Connecticut General Assembly, 2009). The healthcare plan does not require co-payments for preventive healthcare services. Dental coverage that is offered by SustiNet can be compared in its scope to that of large employers (Connecticut General Assembly, 2009). Healthcare reform in Massachusetts was initiated in 2006 and was designed to ensure that almost all of the state’s residents would be offered a minimum level of insurance coverage (Commonwealth Health Insurance Connector, n.d.). This reform helped to establish the Commonwealth Health Insurance Connector Authority that provides insurance plans for the people whose income does not exceed 150% of the Federal Poverty Level (FPL) (Commonwealth Health Insurance Connector, n.d.). Evaluation One significant strength of OHP was its ability to expand insurance coverage to those residents of the state who did not have the financial ability to purchase any level of healthcare insurance. However, the program’s success in providing insurance coverage by rationing medical services was not sustainable. The enrollment in OHP dropped by 53%, from 104,000 at the beginning of 2003 to 49,000 at the end of 2003 (Oberlander, 2007). SustiNet was designed to provide healthcare insurance to those who cannot purchase it on their own, in a similar vein to OHP. One of the strengths of the plan is the provision of independent information about health outcomes, costs, and other pertinent information about both state-sponsored and private insurance coverage plans in Connecticut (SustiNet, 2010). However, even though the implementation of the plan was meant to “slow the growth in health care costs while simultaneously expanding coverage dramatically,” the report… shows that SustiNet costs will rise by $77 million in 2017 (SustiNet, 2010; HayGroup, 2011). Notwithstanding the fact that the enrollment in the program did