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State-Based Health Care: More Flexibility for States

This act aims to allow states to create their own comprehensive health care systems for all residents. States can obtain waivers from certain federal requirements to tailor health care to their needs, provided they ensure a wide range of benefits and affordable costs. This is intended to increase access to and efficiency of health care at the state level.
Key points
States can apply for waivers to establish their own universal health care systems, covering all residents.
Approved states will receive federal funds that would otherwise be spent on federal health programs.
State systems must provide comprehensive benefits, at least as good as federal ones, and protection against high out-of-pocket costs.
States must aim to cover at least 95% of residents within 5 years and report progress regularly.
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Introduced
Citizen Poll
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Additional Information
Print number: 119_HR_4406
Sponsor: Rep. Khanna, Ro [D-CA-17]
Process start date: 2025-07-15