Part 1 Federalism, health policy and the States: health care policy and the American States - issues of federalism, Robert F. Rich and William D. White. Part 2 Health policy in the States - overview: State health policy in the 1990s, John Holohan and Len Nichols; State small group insurance reform, Michael A. Morrisey and Gail A. Jensen; health care and the fiscal crisis of the States, Steven D. Gold; health care financing reform and State mental health systems, Richard Frank and Thomas McGuire. Part 4 Assessing the capacity of the States: State government and their capacity for health care reform, Howard M. Leichter; States and the health care crisis - limits and lessons of laboratory federalism, Michael S. Sparer and Lawrence D. Brown; variation in health care policy in the American States - the dog that didn't bark, Carolyn Hughes Tuohy; should States be responsible for new directions in health provision? - lessons from other policy areas, Steven G. Craig; health care reform and competition among the States, Daphne A. Kenyon. Part 4 The future of States in health care policy: national health reform - where do we go from here?, Theodore Marmor and Jerry Mashaw; the American States, federalism and the future of health care policy, Robert F. Rich and William D. White.