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

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Task 1.5.7 of 7

Create a public petition process to add services, with HTA review within 180 days.

Who does it

HTA Institute

When

Month 12

Trade-off

A petition process keeps the package responsive but invites advocacy campaigns for costly additions.

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.