Pennsylvania SB1465: An Act establishing the Office of Health Care for the purpose of creating a universal single-payer health care system; providing for powers and duties of the Office of Health Care; establishing the Pennsylvania Health Care Board; providing for eligible participants; establishing the Health Care Restricted Account; and providing for sources of revenue.

What the bill says

An act consistent with the intent. For the purpose of this definition, the board shall adopt guidelines to determine whether an individual is a resident. The guidelines shall include all of the following: (1) A requirement that an individual seeking resident status has the burden of proof in the determination of resident status. (2) A residence established for the purpose of seeking health care shall not by itself establish that an individual 20260SB1465PN1936 - 3 - is a resident. (3) A resident may be an individual experiencing homelessness, an individual who is incarcerated or an individual.

From the introduced text, September 24, 2026:

an act consistent with the intent. For the purpose of this definition, the board shall adopt guidelines to determine whether an individual is a resident. The guidelines shall include all of the following: (1) A requirement that an individual seeking resident status has the burden of proof in the determination of resident status. (2) A residence established for the purpose of seeking health care shall not by itself establish that an individual 20260SB1465PN1936 - 3 - is a resident. (3) A resident may be an individual experiencing homelessness, an individual who is incarcerated or an individual with undocumented status. "Secretary." The Secretary of Health of the Commonwealth. "System." A universal single-payer health care system administered by the office. Section 3. Office of Health Care. The Office of Health Care is established within the department for the purpose of creating a universal single-payer health care system in this Commonwealth. The office shall be responsible for the collection and disbursement of money required to provide covered services for each eligible participant. Section 4. Powers and duties of office. The office shall have the following powers and duties: (1) Make contracts and execute all instruments necessary or convenient for implementing the purposes of this act. (2) Enter into agreements or transactions with a Federal, State or municipal agency or other public institution or …