MA H1405

Creates the Massachusetts Health Care Trust as a single-payer system to provide universal health coverage to all state residents, including homeless and undocumented individuals, with no copays, deductibles, or other cost-sharing

Covers comprehensive services including medical, dental, vision, hearing, mental health, substance abuse treatment, long-term care, prescription drugs, and reproductive health care including abortion

Funded through new payroll taxes: 7.5% employer tax on W-2 wages (plus 0.5% for employers with 100+ employees), 2.5% employee tax, 10% self-employment tax, and 10% tax on unearned income above $20,000, with $20,000 exemptions

Governed by a 29-member Board of Trustees appointed by the Governor, Attorney General, and Governor's Councillors, with representation from health professionals, labor, disability rights, and public health organizations

Requires hospitals to operate as non-profit entities and caps Trust administrative costs at 5% of income within two years of implementation, with full implementation within one year of enactment