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.
SACRAMENTO BUSINESS JOURNAL. Debate is heating up over whether California should continue to be the only state with two agencies regulating health insurance. The Department of Managed Health Care oversees health plans-mostly HMOs-that cover 21.6 million Californians. The Department of Insurance regulates most preferred provider and traditional indemnity plans, which cover 2.4 million state residents.