Bill > S2286

This bill provides a framework for states to establish their own universal health care systems by allowing them to apply for comprehensive waivers from existing federal health care requirements. States can apply for waivers starting in 2026 if they can demonstrate a plan to cover at least 95% of state residents within five years and create a budget-neutral proposal for the federal government. To be approved, state plans must provide comprehensive health coverage that is at least as good as existing federal programs, cover all state residents (with some exceptions), be publicly administered, and include reproductive health services. The bill establishes an Independent Assessment Panel to review state waiver applications and requires states to submit reports every five years detailing their progress. The waivers would allow states to consolidate federal health care funding streams like Medicare, Medicaid, and other programs into a single state-run system, with federal funds being "passed through" to support the state plan. The bill includes specific protections for Native Americans and requires coordination between federal agencies to streamline the waiver process. States would have technical assistance and a grace period to achieve universal coverage, with potential waiver termination if they fail to meet coverage goals.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/2286/all-info