It recreates a model based on our state’s unique Medicaid system, utilizing the efficiency of our private Managed Care Organizations (MCO), but within strict parameters of benefits and reimbursement rates established by regulators. As with our current Medicaid system, Marylanders would go to private doctors, hospitals and health care providers, but the bills would go to the state. It would be paid for by a 10% payroll tax that lowers the cost to most employers (who usually pay more, on average, than 10% for coverage), and would virtually eliminate costs to individuals. More so, with the elimination of uncompensated care, the money we currently spend would help lower costs further. An analysis of my legislation conducted by the Department of Legislative Services also shows that after about five years, costs would go down even more.