By NextBestFitPhase 1: Enactment & build · Step 1.1
Create the Universal Health Administration
Months 0–18 · HHS Secretary; UHA Administrator (Senate-confirmed, 6-year term, removable only for cause)Discuss this step
Start-up staffing is $9.0B one-time. Steady-state UHP administration is $96.5B a year (2.5% of benefits) in the 'Public program administration' ledger line, which replaces Medicare and Medicaid administration.
| Cost item | Type | 2024 / before | Amount |
|---|---|---|---|
| Public program administration 8 calculation steps | Spending | $66.1B | $107.5B |
| Agency start-up before steady-state funding 4 calculation steps | One-time | — | $9.0B |
| Jobs created: Universal Health Administration & claims contractors 1 calculation steps | Jobs | — | $0.0B |