State-Based Universal Health Care Act of 2025

This bill establishes a framework for states to create their own universal health care systems by applying for waivers to replace or supplement federal health programs. States would need to demonstrate they can provide comprehensive coverage that meets or exceeds federal standards, cover at least 95% of residents within 5 years, and include specific protections for Indian health care. The federal government would redirect funds that would have gone to federal programs to the states for implementation, with states required to submit annual reports and undergo a 5-year review to maintain the waiver.