In both types, the heart isnât pumping blood as efficiently as it should. The main difference is that cyanotic congenital heart disease causes low levels of oxygen in the blood, and acyanotic congenital heart disease doesnât.
The following states offer health insurance to legislators but describe it as optional at legislator's expense -- Nebraska, Nevada, New Hampshire, New Mexico, Vermont and West Virginia. In addition, South Dakota and Wyoming do not offer health benefits to legislators, but do cover legislative staff.
Health insurance in the United States is a relatively new phenomenon. The first insurance plans began during the Civil War (1861-1865). The earliest ones only offered coverage against accidents related from travel by rail or steamboat. The plans did, however, pave the way more comprehensive plans covering all illnesses and injuries.