State-Based Universal Health Care Act of 2025

# State-Based Universal Health Care Act of 2025 Summary **What the Bill Would Do:** This bill would allow individual states to establish their own universal health care systems without federal restrictions. Rather than creating a national health care program, it would give states the flexibility to design and implement health care coverage plans that work for their residents—whether through single-payer systems, public options, or other models. The bill essentially removes federal barriers that currently prevent states from experimenting with alternative health care approaches. **Who It Affects:** This legislation would primarily affect state governments and their residents.

States would gain the authority to create new health care systems, while federal healthcare programs (like Medicare and Medicaid) would need to be adjusted to work alongside state-level plans. Individuals living in states that choose to implement universal systems would experience changes to their health care coverage and how they access care. **Current Status:** The bill was introduced in the 119th Congress and is currently in committee, meaning it has not yet been debated or voted on by the full Senate. As a committee-stage bill, it remains in the early stages of the legislative process.