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HB 2795

single payor; health care

57th Legislature - First Regular Session Introduced by Brian Garcia

HB 2795 would replace Arizona's multi-payer health insurance system with a single government-administered healthcare program covering all state residents.

House Second Reading
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WeVote Research Nonpartisan
Bill Summary · HB 2795

Legislative bill overview

HB 2795 proposes implementing a single-payer healthcare system in Arizona, where a single government or quasi-government entity would manage healthcare financing and coverage for all residents. The bill represents a fundamental restructuring of Arizona's healthcare delivery model, replacing the current multi-payer system with unified administration.

Why this is important

A single-payer system would eliminate private health insurance intermediaries, potentially reducing administrative costs but also requiring significant tax increases and complete healthcare financing reorganization. This represents one of the most consequential healthcare policy changes possible, affecting every Arizona resident's insurance coverage, provider reimbursement rates, and healthcare access.

Potential points of contention

  • Funding mechanism: Single-payer systems require substantial revenue generation, typically through payroll taxes or income taxes significantly higher than current insurance premiums; specific funding sources will be contentious
  • Provider reimbursement rates: Consolidating payment under one entity typically means lower negotiated reimbursement rates, which providers and their advocates will likely oppose
  • Implementation timeline and transition: Converting millions of people from private coverage to a single system involves enormous logistical complexity, with disputes likely over feasibility and disruption risks
  • Federal law conflicts: State-level single-payer systems face potential conflicts with federal healthcare regulations and may require federal waiver approvals
  • Individual choice: Critics argue single-payer eliminates choice in coverage and provider selection, while supporters counter it expands access

Compiled from official sources — confirm details with the bill’s official record.

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