Cross River State (CRS) is taking giant strides towards achieving universal health coverage (UHC) and its vision “to be a leading Nigerian state with prosperous and healthy citizens”. In September 2016, the state unanimously passed the anticipated State Health Insurance Scheme (SHIS) Bill. Mandatory for all CRS residents, the CRS SHIS Bill creates the provision for an equity fund of one percent of the state’s consolidated revenue fund to go to vulnerable populations.