The State-Based Universal Health Care Act of 2025 aims to empower states to establish their own universal health care systems, ensuring comprehensive health coverage for all residents. This legislation introduces a waiver process that allows states to bypass certain federal health care requirements, enabling them to tailor their health care plans to meet local needs. To obtain a waiver, states must submit a detailed application outlining their proposed plan, which should aim to achieve at least 95 percent health coverage for residents within five years.