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

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Task 5.3.2 of 3

Year-10 report: compare outcomes against the stated trade-offs on this site and recommend continue/modify.

Who does it

Evaluator

When

Year 9

Trade-off

A Year-10 review grounds decisions in evidence but adds uncertainty for long-term planning.

Part of: Run an independent evaluation and the Year-10 review

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.