“While they cap care and sell your data, I expand access and protect your rights. Health shouldn’t depend on who you are—or who you can afford to be.”
Universal Health Access Act – FAQ
Care without conditions. Health without profit. A system built for the people.
What is the Universal Health Access Act?
The Universal Health Access Act is the national healthcare reform pillar of the Green Budget Framework. It guarantees every person in the United States access to free or low-cost healthcare—regardless of age, income, immigration status, or employment—through a publicly funded, community-driven national health system. It prioritizes preventive care, de-commodifies medicine, and ends the influence of for-profit insurers in life-and-death decisions.
What’s the difference between this and Medicare for All?
While similar in universal coverage, the Universal Health Access Act:
Covers all residents, not just citizens or those over 65
Builds a public provider network alongside guaranteed payment coverage
Integrates community clinics, traditional healing, mobile care, and rural medicine
Moves beyond a payment system into a universal public care delivery system
Is paired with investments in housing, mental health, nutrition, and environmental health—seeing health holistically, not in isolation
This act is broader, more decentralized, and more rooted in justice than conventional Medicare expansion models.
What does it cover?
Everything medically necessary, including:
Primary and preventive care
Emergency and urgent care
Mental health and substance use treatment
Vision, dental, and hearing
Reproductive and maternal care
Gender-affirming care
Prescription drugs, medical devices, and lab work
Hospice, palliative care, and end-of-life planning
Home-based care, disability support, and long-term services
Alternative and integrative medicine (when evidence-based)
Who qualifies?
Everyone living in the United States.
No one is excluded based on age, income, employment, immigration status, or preexisting conditions. All services are free at the point of care, or offered on a sliding scale where necessary (e.g., elective or non-essential services).
What happens to private insurance?
Private insurance companies:
Cannot duplicate or replace covered services under the national system
May offer supplemental or luxury insurance for elective procedures (e.g., cosmetic surgery, concierge medicine)
Are barred from lobbying against public health policies or consolidating providers under corporate ownership
The act moves health care into the public domain, where decisions are made by medical professionals and communities—not profit-driven executives.
How are hospitals and clinics affected?
Public and nonprofit hospitals become fully funded under the new system
Rural hospitals receive emergency investment and infrastructure upgrades
Corporate hospital chains are either converted into public trusts or regulated under price caps and care mandates
Community health centers and clinics are expanded dramatically, especially in underserved areas
What about healthcare workers?
Doctors, nurses, aides, and providers receive fair wages, tuition forgiveness, and expanded training support
The act invests in community-based training programs, prioritizing underrepresented and local populations
Workplace protections, staffing ratios, and union rights are fully guaranteed
Burnout is addressed through care teams, mental health support, and flexible care models
How are prescription drugs handled?
The act creates:
A National Pharmaceutical Trust that negotiates or manufactures essential medications
Patent reform to prevent price gouging and monopolies
Open-source drug development grants tied to public accessibility
Importation permissions and bulk purchasing from global suppliers
No more $600 insulin. No more price-hiked generics. Life-saving medicine is treated as a public good.
How does this help with mental health and addiction?
The act fully integrates:
Trauma-informed mental health care
Mobile mental health response teams
Inpatient and outpatient addiction recovery services
Peer-led and culturally specific care models
Free or low-cost therapy and psychiatric care
Mental health is treated as part of whole-person health—not a luxury service or criminal issue.
What’s the impact on underserved communities?
The act prioritizes:
Tribal nations, formerly incarcerated people, LGBTQ+ communities, and people with disabilities
Expansion of services in rural, immigrant, and historically redlined areas
Community health governance boards with real decision-making power
Language access, transportation, and digital equity for telehealth
The model heals the system by centering the harmed.
How is this funded?
The Universal Health Access Act is funded through:
Redirection of military medical spending and federal insurance subsidies
Wealth taxes and fair corporate taxation
Global pharmaceutical trade reform
Elimination of wasteful billing, fraud, and corporate profits
Long-term savings from preventive care, housing stability, and crisis avoidance
There are no out-of-pocket costs for covered services, and no new taxes for working-class families.
What is the long-term vision?
A nation where no one goes bankrupt because they got sick.
Where your zip code doesn’t decide your lifespan.
Where health is treated as a human right, and your care comes with compassion—not conditions.
The Universal Health Access Act builds that world—starting now.