State-Based Universal Health Care Act of 2025

This bill would allow states to create their own universal health care systems by applying for waivers that replace federal health programs with state-based coverage. States would need to demonstrate they can cover at least 95% of residents within 5 years, maintain comparable benefits and affordability, and provide comprehensive coverage including reproductive health services. The federal government would redirect funds that would have gone to federal programs like Medicaid and Medicare to the states, with states required to submit regular reports on coverage progress and costs. The bill includes specific protections for Indian health care providers and ensures coverage for vulnerable populations without imposing new costs on them. This framework would apply to states that choose to implement their own universal health care system rather than relying on existing federal programs.