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According to the Intergovernmental Health Policy Project ( IHPP ) , in a report dated June of 1996 , all but two states had enacted some type of small group market reform , and 35 states had enacted some type of individual insurance market reform . The paper looks at the obligations of Annex I EITs and their involvement in Activities Implemented Jointly , emission trends and energy reform , and at the activities countries have undertaken to meet climate obligations . In many areas , stakeholder councils that are both community-based and interagency have taken lead roles in mitigation activities , including homeowner education , treatment projects , green waste disposal programs , building code reform , and so forth . Significant progress in the areas of price and trade liberalization , financial sector reform , and privatization has laid the foundations for robust economic growth . Moreover , additional savings will be possible from changes in strategic nuclear programs and minor procurement programs , acquisition reform , and Vice President Gore 's national performance review .