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.
Kaiser Permanente Locations. Kaiser Permanente offers health insurance on a broad scale, and having started in California, and now branching out into other states. Kaiser not only offers coverage, but also has clinics in major metropolitan centers where people who are insured under the health insurance can come for treatment.