A 2002 report, Income Adequacy and the Affordability of Health Insurance in Washington State, used the Self-Sufficiency Standard as a basis for assessing the affordability of public and private health insurance coverage programs. The study found that “eligibility criteria for public programs targeting low income families should reflect the significant variation in living expenses across geographic regions and family types….Using geographically and demographically static measures like FPL, 50% of median income or minimum wage in eligibility standards will result in policies that are not always focused on those in greatest need of public support.”