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Commission begins defining enrollment and governance options; Oregon director shares implementation lessons

Universal Health Care Commission · February 12, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

The commission discussed enrollment definitions, infrastructure options and governance models, heard from Mimi McDonald of Oregon's Universal Health Plan Governance Board, and identified foundational questions (single vs. multi-payer, who bears risk) that staff will frame before further enrollment work.

Commissioners spent a substantial portion of the Feb. 12 meeting defining terms and sequencing for enrollment, infrastructure and governance work and sought lessons from Oregon as they draft the commission's design proposals.

Ross (staff) led a discussion defining "enrollment" as the process by which a person completes enrollment and the backend systems that verify eligibility. Joan Altman and others stressed the need to include identity proofing, privacy protections and the data processes that run…

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