This bill would change the Affordable Care Act to let states create their own universal health care systems. These state programs would be set up to cover a wide range of health services for people who live in the state. The bill also creates a new “state universal health care” waiver to make these systems possible and provides support to help states run them.

In short, it aims to give states a clear path to build statewide, comprehensive coverage for all residents, using a new waiver under federal law.

• Who is affected: State residents and state governments that choose to create a universal health care system.
• What changes: The Affordable Care Act would be amended to allow and support state-based universal health care, including a new waiver for these programs and comprehensive benefits for residents.
• When: Not specified in the provided text.