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hospitals and other safety net providers by $3.9 billion over the next five years (Rutenberg/Pear, New York Times, 1/23). The proposal is designed to give states incentives to develop plans to expand health insurance coverage (Los Angeles Times, 1/23). The state plans would be required to define which residents need coverage, outline a basic health insurance policy and establish a subsidy that would help uninsured residents obtain coverage, Leavitt said (Carey, CQ HealthBeat, 1/22). Leavitt said Bush "wants to partner with states," adding that he expects at least 12 states to propose health insurance reforms this year (Los Angeles Times, 1/23). Leavitt added, "We want to be able to redirect federal payments away from institutions and to needy individuals. Rather than perpetually paying bills for the uninsured, it's better to help them buy health insurance." Debbie Bachrach, a deputy commissioner in the New York State Health Department, said the funding cuts would affect hospitals that "serve some of the lowest-income, most vulnerable patients" (New York Times, 1/23).