By NextBestFitLaunch the wait-time guarantee
Year 1 (registry), Year 2 (enforceable guarantee) · UHA Office of Patient Advocacy; regional officesDiscuss this step
Every existing law, program, institution, or practice this step changes: what it is today, what happens to it, when, and what that costs or trades off.
| What | Today | Change | Trade-off |
|---|---|---|---|
| Wait-time guarantee (new) newYears 1–2 Patients | No legal access standard except network adequacy rules. | Maximum waits with vouchers to any provider when missed. | Enforceable access; costs rise when capacity is short. |
| National wait-time registry (new) newYear 1 Data & technology | No national data on waits. | Every referral and scheduled procedure time-stamped and published. | Transparency; reporting burden on providers. |
| Medical travel abroad and across borders amendedYear 4 Patients | Some uninsured or underinsured Americans travel to Mexico, Canada, or elsewhere for cheaper care and drugs. | Demand falls; UHP pays for care abroad only for emergencies or when the wait-time guarantee is missed and a foreign provider is approved. | Less need to travel; border-region clinics lose U.S. patients. |