Universal HealthcareBy NextBestFit
Phase 5: Stabilize & govern · Step 5.3

Run an independent evaluation and the Year-10 review

Annual reports; Year 10 vote · Independent evaluator (National Academies + GAO); CongressDiscuss this step

An independent evaluator reports annually on access, quality, waits, health outcomes, costs, and the labor market. In Year 10 Congress must vote on the duplicative-insurance ban and the cost-sharing standby option based on that evidence.

Legal vehicle
Universal Health Act, Title I; statutory sunset of the duplicative-coverage ban absent reauthorization.
Who does it
Independent evaluator (National Academies + GAO); Congress
When
Annual reports; Year 10 vote

In this step

Tasks
3 tasks
Trade-offs
1 pros · 1 cons · 2 trade-offs
Risks
2 risks with mitigations
Other countries
3 comparisons
Steps that depend on this one

None.

Sources: The Commonwealth Fund (2024)