Which of the following functions are responsibilities of the states? (Select all that apply.)
a. Delegating power to localities and holding them accountable for results
b. Creating managed health organizations to decrease state health care costs
c. Establishing and managing local health departments
d. Licensure of professional health care providers
e. Overseeing all insurance programs
f.
Providing access to necessary health services
ANS: A, D, E, F
State governments focus particularly on financing and delivery of services and oversight of insurance. The state is responsible for addressing the mission of public healthâ€"assessment, policy development, and assuranceâ€"throughout the state. Tasks include assessment of health needs based on statewide data collection; establishment of statewide health objectives; and delegating power to localities as appropriate and holding them accountable. States license health professionals as part of the statewide effort to develop and maintain essential personnel. Creating managed health organizations and establishing and managing local health departments are not a main responsibility of the state.
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