In the last several years, a new player has moved into the big leagues of compreensive health care reform—the workers' compensation system. Two major initiatives helped prompt its entry. In 1992, California Insurance Commissioner John Garamendi released a health care reform proposal to bring the medical component of workers' compensation and auto insurance under comprehensive health coverage offered to individuals through regional purchasing cooperatives. Then, in the first year of his administration, President Clinton introduced the Health Security Act of 1993 which includes a similar provision.