HB 6285 Summary

• Establishes "MIcare," a universal, publicly financed and administered single-payer health care system providing comprehensive coverage to all Michigan residents regardless of income or health status.

• Creates a 13-member MIcare Board appointed by the Governor with legislative nominations to oversee system development, set provider payment rates, establish benefit packages, and evaluate performance using specified quality metrics.

• Consolidates Medicaid, Medicare, MIChild, and other health coverage into one unified payment system with no premiums, deductibles, co-pays, or cost-sharing requirements for beneficiaries.

• Requires the Director to obtain federal waivers under section 1332 of the Affordable Care Act to allow implementation and negotiate federal funding contributions that account for state population demographics and economic factors.

• Implementation triggered upon satisfaction of five conditions including waiver receipt, financing legislation enactment, board benefit package approval, appropriations, and board determination that system will not negatively impact state economy while reducing administrative costs and containing health spending growth.