Create the UHP Trust Fund

Months 0–12 · Treasury (managing trustee), UHADiscuss this step

State & local employer Medicare payroll tax

Continues.

Result

$19.9B

$19.9B → $19.9B

Per resident, per year

$58

÷ 341.1M people

Per household

$151

÷ 132.2M households

#	Step	Value
1	2024 amount (CMS NHE Tables 5-1 to 5-4) Sources: CMS Office of the Actuary (2025)	$19.9B
2	Treatment: continues	$0.0B
3	Under the plan	$19.9B

Trade-off: Continues as before.