MO HB1641

Creates the Missouri Universal Health Assurance Program as a single-payer, publicly financed statewide health insurance system covering comprehensive health, mental health, and dental services for all Missouri residents regardless of preexisting conditions

Establishes a 23-member board of governors to administer the program, including healthcare providers, consumer advocates, and department directors, along with six regional advisory councils for health planning

Funds the program through a graduated health assurance tax on income above $5,000, ranging from 1% on income up to $25,000 to 5% on income over $500,000, plus federal Medicare and Medicaid waiver funds deposited into a Missouri Health Care Trust Fund

Reimburses institutional providers through negotiated global budgets and independent providers through fee-for-service based on Medicare rates, with administrative costs capped at 4% of total program funds

Prohibits providers from charging patients beyond negotiated reimbursement rates and limits health expenditure growth to no more than 2% above the state's GDP increase, while implementing prescription drug cost containment measures