Task 1.5.6 of 7
Decide the contested services (abortion / Hyde Amendment, gender-affirming care) by explicit vote; see Design.
Who does it
Congress
When
Drafting
Trade-off
An explicit vote on contested services is transparent but can split the coalition needed to pass the bill.
Part of: Define the benefit package & cost sharing
Write down exactly what UHP covers, what it excludes, and what patients pay at the point of care: nothing for covered services. Out-of-pocket spending falls from $556.6B to $197.3B; what remains is for excluded items.
This step changes 14 existing laws, programs, or institutions. See the list.