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Universal Health Care: 2005 Legislation

 

Final site update: January 31, 2006. 
Please see Universal Health Care: 2006 Legislation for the most current information.

After more than two years of high-visibility public debate, federal universal health care proposals failed in 1993-94. This period was followed by a significant shift in the policy debate toward "incremental" health reforms, affecting both private and public health insurance. On the state level, the resulting passage of major managed care comprehensive consumer rights laws, HIPAA "portability and accountability" implementation laws, and Children's Health (SCHIP) plans, also has moved much of the legislative debate further away from "universality".

However, specific broad-based health care reform legislation, affecting every citizen in a state, has been filed or re-filed in a number of legislatures. A majority of these are based on the "single-payer" model. This approach consolidates all payers - Medicare, Medicaid, state programs and private insurers - into a single administrative structure, with the state (or federal) government handling payments.

Currently, at least 18 states have introduced legislation regarding Universal Health Care: California, Colorado, Connecticut, Florida, Hawaii, Kansas, Illinois, Maine, Maryland, Massachusetts, Minnesota, Missouri, New Hampshire, New York, Ohio, Oklahoma, Rhode Island, and Vermont.

2003/2004 Legislation

First letter of State  C F H I K M N O R V W

CA

CA SB 840 This bill would establish the California Health Insurance System to be administered by the newly created California Health Insurance Agency under the control of an elected Health Insurance Commissioner.  Carried over; in committe 7/12/05.

CO

CO S.B. 169, Concerns the creation of an assembly for comprehensive state health care reform for the purpose of making recommendations to the general assembly regarding access to health care for all Colorado residents.

CT

CT H.B. 5028, Provides affordable health insurance to artists.

CT H.B. 6303, Establishes a system to finance health care for every resident of Connecticut. Died

CT S.B. 766, Establishes universal health care in this state in order to provide that every resident of the state has access to affordable quality health care.  In committee; action as of 3/24/05.

CT S.B. 803, Provides health care for all state residents by establishing a single-payer health care system in this state. In committee; no action as of 3/24/05.

FL

FL H.B. 295, Relates to health insurance/TRICARE; revises definitions; includes TRICARE supplemental insurance plan within state group insurance program; requires DMS to purchase health care for employees under said plan; authorizes surviving spouse to elect to continue coverage under plan; provides that enrollee in plan may change to any other state health plan during open enrollment.

FL S.B. 150, Creates Universal Health Access Plan for Children; provides definitions regarding health care services for children; establishes single, publicly financed statewide program to provide medically necessary health services for each child in state without cost to child or his or her family; requires Health Dept. to administer plan.  Died

HI

HI H.R 30 Urging the State to achieve Universal Health Care by 2012.

HI H.C.R 34 Relates to urging the state to achieve Universal Health Care by 2012.

HI H.R 91 Request a universal single-payer health care system for Hawaii.

HI H.C.R 118 Requests a universal single-payer health care system for Hawaii.

HI S.C.R 30 Requests an assessment of the cost to insure a group health insurance plan for the State of Hawaii based on a risk pool equivalent to the state's population; relates to feasibility of insurer financing of Hawaii single payer health insurance program.

HI H.B. 1304, Establishes a temporary Healthcare Task Force to develop a plan for implementing health care for all the residents of Hawaii.

 IL  HB 806 (Amendment 3) Establishes the Covering ALL KIDS Health Insurance Program.  Provides insurance which covers preventative care, dental and vision, hospital costs, and prescription drugs for all children through age 18 who are not eligible for coverage by Medicaid or the Illinois CHIP.  Premiums based on a graduated rate, but all children, regardless of family income, are eligible.  signed into law by governor

KS

KS H.B. 2192, Concerns deposition of certain tobacco litigation settlement proceeds; establishes the health care for seniors fund.

KS HB 2001, An act concerning insurance; establishing the Kansas Health Care Commission and providing for the powers, duties and functions;providing comprehensive, statewide health insurance coverage for all residents of the state.

ME

ME H.B. 106, Establishes a universal access health care system that offers a choice of coverage through organized delivery systems or through a managed care system operated by the Maine Health Care Agency and channels all health care dollars through a dedicated trust fund. Died in committee

ME L.R. 241, Establishes a single-payor health care system.

MD

MD S.B. 727, Establishes the Maryland Universal Health Care Plan; specifies the purpose of the Plan; establishes the State Board of Governors of the Maryland Universal Health Care Plan. In committee, no action as of 2/05.

MA

H. 4479 formerly H. 4463 formerly S. 738
Would create an Act promoting access to health care (PATH) Includes a multi-prong approach toward universal coverage. Requires all individuals who can afford to do so to maintain health insurance through their employer, a state-run program, or in the individual market; private insurance companies would be encouraged to provide lower-cost plans. The  state’s Medicaid program would be increased to capture the approximately 160,000 uninsured residents who are eligible for the program but not enrolled. It eliminates the employers’ contribution to the free care pool, the state-operated fund that helps pay for the medical care of the uninsured. Employers who do not offer insurance to their workers would instead have to pay an assessment to a similar fund. Employers with 10 or fewer employees would be exempt.
Passed to be engrossed by House - 131 YEAS to 22 NAYS) 11/03/05

H. 4279 also see H. 2923
A message from His Excellency the Governor recommending legislation relative to increasing the availability and affordability of private health insurance to residents of the Commonwealth. Includes an individual mandate that requires all individuals who can afford to do so to maintain health insurance through their employer, a state-run program, or in the individual market.
(Filed 7/20/05; amended substantially in committee; see H 4463, 10/31/05)

S. 2266
Would establish a "free-rider surcharge" on certain employers that do not provide health benefits and individuals who do not obtain coverage when it is offered by an employer. The employer surcharge applies to those with more than 50 workers and is used to pay for workers using Medicaid. The individual surcharge applies to individuals who are offered employer coverage but deny it and make over 300 percent of the federal poverty level. (Amended Senate committee version of H.4479; 11/08/05 ; passed Senate 11/9/05

MN

MN S.B 723, Relates to a universal health care system that provides affordable access to high quality medical care for all Minnesotans.  In committee; no action as of 2/2005. 

MN S.B 414
, Establishes the Minnesota Universal Health Board; creates the Minnesota universal health program; establishes the Minnesota health care trust fund; establishes statewide and regional health care budgets; eliminates requirements to establish public health goals; appropriates money.  In committee; no action as on 1/2005.

MN H.B 481 Establishes statewide and regional health care budgets, and eliminates requirements to establish public health goals. In committee; no action since 1/05.

MN H.B. 784, Establishes a Universal health care system, focuses on preventive care and early prevention. In committee; no action as of 2/2005.

MN H.B. 2966, Relates to public safety; modifies provisions relating to continuing health care for disabled peace officers and firefighters.

MN S.B. 723, Relates to a universal health care system that provides affordable access to high quality medical care.

MO

MO H.B 80, Establishes the Missouri Universal Health Assurance Program to provide a single, publicly financed statewide insurance program for all residents of this state.  In committee; not currently on calander.

NY

NY A.B 7069, Authorizes and directs the Commissioners of State Insurance Fund to establish a single payer health care plan for all New York residents and to submit appropriate legislation to the Legislature; directs the commissioner to submit a report detailing the cost savings of such single payer health care plans as related to the existing costs of health care services in the State of New York. Carried over to 2006.

NY S.B 2561, Requires the Commissioner of Health and Superintendent of Insurance to establish a universal health care professional application form for participation in a health care plan or the managed care program of an insurer; requires the adoption of a universal form for medical care referrals; requires the procedures be implemented to authorize newly licensed physicians to participate in managed care provision.

NY A.B 6576, Provides for establishment of the New York health plan and makes an appropriation to the temporary commission on implementation of the plan.

OH

OH S.B 68, Establishes and operates the Ohio Health Care Plan to provide universal health care coverage to all Ohio residents.  In committee; no action since 2/2005.

OH S.B. 263, Establishes and operates the Ohio Health Care Plan to provide universal health care coverage to all Ohio residents.  In committee; no action since 5/2005.

OH H.B. 548, Establishes and operates the Ohio Health Care Plan to provide universal health care coverage to all Ohio residents.  In committee; no action since 9/2004.

OK

OK H.B. 1480, Relates to health care for the indigent and uninsured in the Tulsa Metropolitan Service Area; makes an appropriation to the Oklahoma Community Hospitals Authority; states legislative intent; requires budgeting of certain funds in certain years.

RI

H.B. 6111, Extends the reporting date of the special house commission to study the single payer comprehensive health insurance plan in the State of Rhode Island from July 1, 2005 to July 1, 2006 and said commission would expire on September 1, 2006. Passed

WI  S.B. 388 - Establishes a universal health insurance system to be enacted January 1, 2008 under which all residents would be covered.  To administer the plan, the Department of Health Planning and Finance would be created, along with an 11-member Health Policy Board which would direct and oversee the DHPF.  Referred to committee

VT

VT H.B 524, Establishes the goal of universal access to essential health care services through a publicly financed, integrated, regional health care delivery system in Vermont; provides mechanisms for cost containment in the system, provides a framework, schedule, and process to achieve that goal.  Vetoed by the Governor June 25th, 2005.

The following states have legislation which comissions studies on universal health care:

HI S.B.1212 - Establishes a task force in the governor's office to study how best to implement a universal health insurance system for all residents by 2010.  Making the system affordable, accessible and of high quality are among the task force's objectives.  The study is funded until 6/30/06, at which time the task force must report their findings.  Referred to committee; no action as of 2/1/05. 

LA H.C.R. 142 - Requests that the House and Senate Health and Welfare Committees meet with state and private organizations to study the feasibility of a single-payer health insurance system for all residents.  Committee must report by 10/2/06.  Passed

ME L.D. 32 - Reestablishes the Health Care System and Health Security Board to study health care reform measures and make a recommendation on a single-payer system.  Originally established in 2001. Passed

NH H.B. 133 - Establishes a committee with members of the House and Senate to study whether or not a universal system (specifically the Canadian system) could be implemented in the state.  Committee must report by 11/1/05.  Died 

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