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This bill amends the Affordable Care Act to allow states to apply for waivers to establish comprehensive universal health care systems covering all state residents. States would receive federal funding equivalent to what would have been spent on existing federal health programs (Medicare, Medicaid, TRICARE, ACA marketplace subsidies, and others), with any savings available for reinvestment in the state plan. The bill requires states to achieve 95 percent coverage within five years, maintain budget neutrality for the federal government, and meet specific coverage and affordability standards.
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