Universal HealthcareBy NextBestFit
Phase 1: Enactment & build · Step 1.2

Create the UHP Trust Fund

Months 0–12 · Treasury (managing trustee), UHADiscuss this step
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Task 1.2.1 of 4

Merge the Medicare HI and SMI trust funds into the UHP Trust Fund; transfer balances.

Who does it
Treasury
When
Month 12
Trade-off

Merging trust funds simplifies financing but ends the separate Medicare HI accounting that seniors view as an earned benefit.

Part of: Create the UHP Trust Fund

All dedicated revenues (the payroll taxes, household premium, state MOE, and redirected federal appropriations) flow into a single trust fund with permanent budget authority to pay claims, so a government shutdown never stops payment for care.

This step changes 3 existing laws, programs, or institutions. See the list.