Title I, SEC. 1221. SINGLE-PAYER SYSTEM DESCRIBED. The Board shall approve the application of a State to operate a single-payer system if the Board finds that the system (1) meets the requirements of section 1222; (2) meets the requirements for a Statewide single-payer system under section 1223, in the case of a system offered throughout a State; and (3) meets the requirements for an alliance-specific single-payer system under section 1224, in the case of a system offered in a single alliance of a State.