Bill > HR4406

This bill establishes a framework for states to create their own universal health care systems by allowing them to apply for comprehensive waivers from existing federal health care requirements. Under the proposed legislation, states can request a waiver to implement a state-based universal health care plan beginning in 2026, provided they meet specific criteria. To be approved, state plans must cover at least 95% of residents, offer comprehensive health benefits at least equivalent to existing federal programs, ensure affordability, provide coverage for reproductive health services, and be publicly administered. The bill creates an Independent Assessment Panel to review state waiver applications and requires states to submit periodic reports on their progress. States would receive federal funding equivalent to what would have been spent on existing health programs, allowing them to reinvest any administrative savings into their health care systems. The waiver process includes provisions for public input, technical assistance, and a 5-year review to ensure states are meeting their coverage goals. Additionally, the bill includes specific protections for Native Americans and allows for potential multi-state regional waiver applications. The goal is to provide states with flexibility to design health care systems that best meet their residents' needs while maintaining comprehensive coverage standards.

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https://www.congress.gov/bill/119th-congress/house-bill/4406/all-info