The proposed bill, titled "An Act establishing Medicare for All in Massachusetts," seeks to create a single-payer health care system in the Commonwealth, ensuring equitable access to quality health care services for all residents without any patient cost-sharing, such as co-insurance, co-payments, or deductibles. It establishes the Massachusetts Health Care Trust, which will manage the collection and disbursement of funds necessary for providing comprehensive health care services. The Trust will be governed by a Board of Trustees composed of 29 members from various health care professions and advocacy organizations, and it will appoint an Executive Director to oversee operations. The bill emphasizes non-discrimination in health care access and aims to replace the current mixed public and private insurance system with a more efficient and accessible model.

To fund the Trust, the bill introduces dedicated health care taxes on employers, employees, and self-employed individuals, eliminating traditional insurance premiums and out-of-pocket expenses. It establishes a Health Care Trust Fund to manage these revenues, which will be used for payments to health care providers and administrative costs. The bill outlines covered benefits, including preventive care, mental health services, and long-term care, ensuring that no cost-sharing is imposed on participants. Additionally, it mandates that hospitals operate as non-profit entities to receive licensing, reinforcing the focus on patient care. The implementation of the Trust is required within one year of enactment, with provisions for establishing a governing board and hiring an Executive Director to ensure effective operations.