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.
Medicaid Moving Forward. Medicaid is the nationâs main public health insurance program for people with low income and the single largest source of public health coverage in the U.S. covering nearly 70 million Americans. 1 States design and administer their own Medicaid programs within federal requirements, and states and the federal government finance the program jointly.