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State-Based Universal Health Care Act of 2025

In committee: it can still change before the session ends.

US HR 4406 · House Bill · 119th Congress

Draft a letter
Stage
In committee
Started in
House
Sponsors
36
Latest action
Jul 15, 2025

What it does

The State-Based Universal Health Care Act of 2025 would allow states to apply for federal waivers to replace certain existing federal health programs—such as Medicaid, Medicare, ACA marketplace subsidies, and TRICARE—with state-run universal health care systems that provide comprehensive coverage to all state residents. To qualify, states must submit a detailed plan showing how they will achieve at least 95% resident coverage within five years, maintain budget neutrality for the federal government, and ensure benefits are at least as comprehensive and affordable as those being replaced. The bill requires states to enact enabling legislation, mandates public transparency and reporting, and…

No official summary is available here. This one was written by AI from the bill’s text.

Read the full textRead it on the official site

Where it stands

  1. Introduced (Done)

    Jul 15, 2025

  2. Committee (Current step)

    In committee · Jul 15, 2025

  3. Floor (Not started)

  4. Law (Not started)

What moved

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Who is involved

Sponsors

The lawmakers who put their names on it, lead sponsors first.

Where it goes next

While a bill can still move, the questions are about people and money.

Work with this bill

State-Based Universal Health Care Act of 2025 | 52