By NextBestFitTask 1.2.3 of 4
Establish a contingency reserve equal to 2 months of benefits (about $643.4B at steady state), built over 5 years.
Who does it
Treasury
When
Years 1–5
Trade-off
A 2-month reserve cushions recessions but ties up hundreds of billions of dollars that could lower taxes.
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.