The proposed bill establishes a universal health care system in Michigan known as the "MIcare act," which aims to provide all residents with access to high-quality, medically necessary health services. Central to this initiative is the creation of a MIcare board responsible for overseeing the implementation and administration of the system, which will integrate existing programs like Medicaid and Medicare. The bill emphasizes streamlined administration, a single payment system, and a patient-centered approach, with the director of the Department of Health and Human Services coordinating these efforts. Key provisions include the establishment of the MIcare fund, the requirement for federal waivers, and a commitment to transparency and accountability within the health care system.

Additionally, the bill outlines governance and operational changes for the health oversight board, including restrictions on board members soliciting future employment with regulated entities and criteria for nominating candidates with relevant expertise. The board will oversee health care payment reforms, ensure equitable access to services, and set reimbursement rates, while also engaging with the public and stakeholders. Importantly, MIcare will not impose premiums or cost-sharing requirements and will prohibit discrimination based on sexual orientation or gender identity. The legislation aims to enhance health care access and affordability while ensuring accountability and transparency in its administration.