States establish alliances and qualify health plans.
Tailoring the system to local needs, states may create a single-payer system by establishing only one alliance and negotiating directly with providers. Regional and corporate alliances bring together consumers and employers, acting as their advocates in negotiations with competing health plans over service and price. Competing health plans deliver health services covered in the guaranteed comprehensive benefit. The National Health Board consists of seven members appointed by the President with the advice and consent of the Senate. The National Health Board assumes certain responsibilities for administering the new health care system, while existing federal agencies assume others.