Phase 1: Enactment & build · Step 1.5
Define the benefit package & cost sharing
Months 0–12 · Congress (statutory categories); UHA Chief Medical Officer; HTA InstituteDiscuss this step
The benefit package drives the utilization effect (+$349.6B a year across all services) and the remaining out-of-pocket spending ($197.3B).
| Cost item | Type | 2024 / before | Amount |
|---|---|---|---|
| Other non-durable medical products 15 calculation steps | Spending | $128.7B | $128.7B |
| Out-of-pocket spending 11 calculation steps | Funding source | $556.6B | $197.3B |