Policy Brief on the Menu of Policy Options for State-Based Universal Health System Reformtechnical_reportsThis memorandum responds to a request from Rhode Island Attorney General Peter F. Neronha for a menu of policy options to improve the state’s health care system. Like many states, Rhode Island faces mounting challenges related to access, affordability, and long-term sustainability. Hospitals report significant financial distress, driven by workforce shortages and reimbursement rates that lag behind peer states. Primary care is also under strain, as patients face growing access challenges. Nearly 12 percent of residents report that they do not have a regular place to receive medical care. Most recently, Anchor Medical—a multi-site primary care clinic serving more than 25,000 patients—announced its closure, citing the increasing administrative burden and the state’s difficulty attracting primary care clinicians.Erin C. Fuse BrownAuthorHayden Rooke-LeyAuthor2025State-Based Universal Health System ReformPolicy BriefAll rights reservedIn CopyrightAll Rights Reserved10.26300/295j-nm76