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Read. Follow. Verify.Pennsylvania Establishes Universal Single-Payer Health Care System Under Senate Bill 1465
Last action · September 24, 2026: Referred to HEALTH AND HUMAN SERVICES, Sept. 24, 2026Sponsors: Nikil Saval and 9 others
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What This Bill Would Do
Pennsylvania Senate Bill 1465 establishes the Office of Health Care and the Pennsylvania Health Care Board to implement a across the Commonwealth. The measure prohibits patient cost-sharing such as deductibles and copayments for covered services, and replaces private insurance premiums with dedicated employer, employee, self-employment, and unearned income taxes. The act takes effect in 60 days.
Residents gain comprehensive health care coverage without out-of-pocket costs, funded by a new 7.5% employer payroll tax, 2.5% employee payroll tax, 10% self-employment tax, and 10% tax on unearned income while replacing traditional health insurance premiums.
- State Senator Nikil Saval introduced Senate Bill 1465 to establish a universal single-payer health care system in Pennsylvania. context
- Single-payer health care proposals aim to replace private health insurance structures with publicly pooled financing that covers all residents. context
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Pennsylvania residents
Residents are eligible to enroll in the universal health care system, receive covered health services with zero cost-sharing, and pay new employee payroll or unearned income taxes.
Employers in Pennsylvania
Employers are subject to a 7.5% payroll tax on employee W-2 wages, replacing previous spending on employee health insurance premiums.
Health care practitioners and health care facilities
Health care providers must meet state licensing and agreement criteria, prohibit balance billing or out-of-pocket charges, and receive prompt payments through operating and global budgets established by the office.
Insurers
Regulated insurers are prohibited from charging premiums to eligible participants for covered services and must pay an annual health care stabilization fee.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Who is eligible to participate in the universal health care system?
Will patients have to pay copayments or deductibles for doctor visits?
How will the universal health care system be funded?
What services are covered under the single-payer system?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
1 action- Sep 24, 2026SenateCommitteeReferred to HEALTH AND HUMAN SERVICES, Sept. 24, 2026
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Transition from Multipayer to Single-Payer Financing
The bill replaces traditional private insurance premiums and patient out-of-pocket costs with dedicated state payroll and unearned income taxes administered through a restricted General Fund account.
Connected Entities
Sources
www.palegis.us
Analysis Score
0–100- Significance95How much this matters to a regular citizen
- Controversy90Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz85Current news / social attention level
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