The proposed "MIcare act" seeks to establish a universal health care system in Michigan, known as MIcare, which will provide comprehensive health coverage to all residents regardless of income or health status. The act introduces the MIcare board, responsible for overseeing the implementation and administration of the new system, which aims to integrate existing health care services, including Medicaid and Medicare, into a unified framework. Key provisions include the establishment of the MIcare fund to finance health care coverage, the development of a strategic plan for health care reform, and the requirement for the Department of Health and Human Services to coordinate efforts to ensure the system is patient-centered, equitable, and evidence-based.

The bill also includes amendments to the governance structure of the health oversight board, such as prohibiting board members from soliciting future employment with regulated entities and imposing a one-year restriction on former members from representing such entities. It emphasizes the need for board members to have expertise in health care policy and diverse experiences in the health sector. The board will be tasked with setting payment rates, developing methodologies for cost containment, and ensuring equitable access to health services. Importantly, MIcare will not impose premiums or cost-sharing requirements and will prioritize negotiating lower prices and reducing administrative costs. The legislation aims to enhance health care access and affordability while ensuring sustainability and equity in the system.