The diffusion of health models from free market economies influenced Russian Federation reformers to modify the 1991 Health Insurance Act. They revised the mechanisms of financing health care, which included employer and risk-based insurance, to conform to a more balanced private-public mix of financing, which is universally accessible, publicly administered, and hopefully privately owned (in the future). The availability of health insurance was removed from being contingent upon employment. This provision thus allowed for more fluid occupational mobility and reduced the role of the employer in making medical decisions for employees.