MA S849

Center for Health Information and Analysis must develop a "single payer benchmark" methodology estimating total costs of providing universal health care to all Massachusetts residents through a unified public plan

Annual reports comparing actual Massachusetts health care expenditures for 2025, 2026, and 2027 against the single payer benchmark must be filed jointly by the Center for Health Information and Analysis, Health Policy Commission, and Division of Insurance, with the first report due by July 1, 2027

Benchmark must model coverage that is continuous, comprehensive, and affordable for all residents regardless of income, assets, health status, or existing coverage, with various actuarial values and cost-sharing levels considered

If reports show single payer would have saved money while expanding access, the Health Policy Commission must submit an implementation plan within 1 year, including potential legislation

Implementation plan development requires at least 3 public hearings and stakeholder input from across the commonwealth