The state Assembly approved a bill Thursday that would create a universal health care system in New York based on the single-payer model.

The measure would combined state and federal funds used for Medicare, Medicaid and Child Health Plus to create the New York Health Trust Fund. The measure would also require the state to seek federal waivers allowing it to fold those programs into the trust.

And the bill’s backers point to the measure saving on property taxes, allowing the local government share of Medicaid funding to end.

“The health care system is rigged against working people, and Congress and the Trump administration are working to restrict health care access even more. New York can do better with an ‘improved Medicare for all’ single-payer system that covers all of us and is funded fairly,” said Assemblyman Richard Gottfried, the longtime sponsor of the bill. “Support is growing with the public and in the State Senate. Assembly passage is an important step as we continue to build support for universal health care to benefit everyone.”

But the bill is nevertheless expected to be costly for the state that already has one of the most expensive Medicaid programs in the country. It stands little chance of passage in the Republican-controlled Senate.

Gov. Andrew Cuomo, a Democrat, has said he supports a Medicare expansion for all on the federal level.

Still, Democratic lawmakers in that chamber are hopeful it can gain traction, pointing to efforts by President Trump’s administration to undermine and gut the Affordable Care Act.

“With the White House and Republicans in Congress relentlessly attacking our right to healthcare and vigorously working to dismantle the Affordable Care Act, this vote is a critical step in our State’s efforts to ensure that every New Yorker, regardless of their wealth or status, has an adequate access to affordable healthcare,” said Sen. Gustavo Rivera.

“It is now time for the members of the New York State Senate to stand up for what is right and work towards the implementation of an efficient and universal healthcare system for New York State. As the Ranking Member of the Senate Health Committee and proud sponsor of the New York Health Act, I will continue to work to make healthcare in our great State a right and not a privilege.”