Health care costs in the United States continue to increase, as does t
he number of individuals who lack health care coverage. The magnitude
of these critical problems assures that health reform of the health ca
re system will continue to be debated over the next decade. Increasing
health care costs are associated with increased complexity of service
s and a greater number of health care providers. As health costs incre
ase and the number of individuals covered by private insurance decreas
es, states will face increasing pressure to develop effective methods
of providing coverage for those without health insurance. Employer man
dates will be viewed as one method of extending health coverage. Psych
ologists must be involved in policy issues so as to ensure the utiliza
tion of psychological knowledge and attention to psychological and beh
avioral health needs.