What role has the federal government played in the establishment of healthcare reform, pricing and pricing structure stability, and healthcare cost reduction?

What role has the federal government played in the establishment of healthcare reform, pricing and pricing structure stability, and healthcare cost reduction?
What role has your local/state government played in the establishment of healthcare reform, pricing and pricing structure stability, and healthcare cost reduction? Any local initiatives?
Be sure to include how pricing/fees are set for different entity types, i.e. hospitals, surgery centers, physician offices, etc. are established and by whom.
Are there defined time frames in which to review and adjust pricing/fees? If so-by whom?
The incorporation of real world application (examples) is also required.
Look through history of reform and locate and discuss at least one other plan, outside of the Affordable Care Act–
that was discussed and bypassed
that never made it to the table for review

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