State-Based Universal Health Care Act: Flexible framework for comprehensive coverage.
This Act establishes a flexible legal framework allowing US states to create their own universal health care systems for all residents. If a state adopts such a system, it assumes responsibility for financing and managing federal programs (like Medicare, Medicaid, CHIP) in exchange for receiving aggregated federal funds. Citizens could benefit from comprehensive health coverage, including reproductive services and abortion, with protection against excessive out-of-pocket costs, provided the state achieves 95% coverage within five years.
Key points
States can apply for waivers from numerous federal health requirements (including ACA, Medicare, Medicaid, TRICARE) to implement their own comprehensive universal health care plan.
The state plan must provide coverage that is at least as comprehensive and affordable as existing federal programs and must cover all state residents (excluding those eligible for Indian Health Service or veteran benefits).
States will receive federal funds that would otherwise have been spent on specified federal health programs (including subsidies and tax credits), maintaining budget neutrality for the Federal Government.
A requirement to achieve at least 95% health coverage for state residents within 5 years; failure to meet this goal may result in the termination of the waiver.
The state plan must include coverage for reproductive health care services, including abortion, contraception, and gender-affirming care.
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