"A top sticking point for the New York Health Act, which would create a universal, single-payer health care system in New York, is opposition from public sector labor leaders over how it would change coverage for their members ... A majority of Democrats in both the Senate and the Assembly have signed on to support the bill this year for the first time since it was introduced ... more than two decades ago. It's gone through several amendments in the meantime, garnering support along the way."