American federalism in practiceis a major contribution to our understanding of contemporary health policy in america always an important topic the issue holds special currency today given the prominence of health care in todays political and economic landscape michael doonan provides a unique perspective on american federalism and us health policy in explaining how intergovernmental . American federalism in practice the formulation and implementation of contemporary health policy amazonde michael doonan fremdsprachige bucher. About journal of health politics policy and law editorial board advertising skip nav destination article navigation close mobile search navigation article navigation volume 40 issue 2 1 april 2015 previous article article navigation . American federalism in practice the formulation and implementation of contemporary health policy doonan michael t american federalism in practice is a major contribution to our understanding of contemporary health policy in america. American federalism n practice the formulation and implementation of contemporary health policy michael doonan brookings institution press washington dc contents acknowledgments vii 1 federalism creates health policy 1 2 chip federalism in congress 16 3 chip federalism and rulemaking 30 4 chip federalism and implementation 43 5 hipaa federalism in congress 57 6 hipaa federalism and