Medicare for All Act

1/4/2025, 11:17 AM

Medicare for All Act

This bill establishes a national health insurance program that is administered by the Department of Health and Human Services (HHS).

Among other requirements, the program must (1) cover all U.S. residents; (2) provide for automatic enrollment of individuals upon birth or residency in the United States; and (3) cover items and services that are medically necessary or appropriate to maintain health or to diagnose, treat, or rehabilitate a health condition, including hospital services, prescription drugs, mental health and substance abuse treatment, dental and vision services, long-term care, gender affirming care, and reproductive care, including contraception and abortions.

The bill prohibits cost-sharing (e.g., deductibles, coinsurance, and copayments) and other charges for covered services. Additionally, private health insurers and employers may only offer coverage that is supplemental to, and not duplicative of, benefits provided under the program.

Health insurance exchanges and specified federal health programs terminate upon program implementation. However, the program does not affect coverage provided through the Department of Veterans Affairs or the Indian Health Service.

The bill also establishes a series of implementing provisions relating to (1) health care provider participation; (2) HHS administration; and (3) payments and costs, including the requirement that HHS negotiate prices for prescription drugs.

Individuals who are age 18 or younger, age 55 or older, or already enrolled in Medicare may enroll in the program starting one year after enactment of this bill; other individuals may buy into the program at this time. The program must be fully implemented two years after enactment.

Bill 118 hr 3421, also known as the Medicare for All Act, is a piece of legislation introduced in the US Congress. The main goal of this bill is to establish a single-payer healthcare system in the United States, where the government would be responsible for providing healthcare coverage to all Americans.

Under the Medicare for All Act, all US residents would be eligible for comprehensive healthcare benefits, including hospital visits, doctor's appointments, prescription drugs, and mental health services. This would be funded through a combination of taxes on individuals and businesses, as well as reallocating existing healthcare spending.

The bill aims to eliminate the need for private health insurance companies, as all healthcare services would be covered by the government. This would theoretically reduce administrative costs and streamline the healthcare system, making it more efficient and accessible to all Americans. Supporters of the Medicare for All Act argue that it would ensure that every American has access to quality healthcare, regardless of their income or employment status. They also believe that it would lower overall healthcare costs and improve health outcomes for the population. Opponents of the bill, however, raise concerns about the potential tax increases that would be necessary to fund the program, as well as the potential for government inefficiency and long wait times for medical services. Overall, the Medicare for All Act is a controversial piece of legislation that seeks to fundamentally change the way healthcare is provided in the United States. Its fate in Congress remains uncertain, but it has sparked a national debate about the future of healthcare in the country.
Congress
118

Number
HR - 3421

Introduced on
2023-05-17

# Amendments
0

Sponsors
+5

Cosponsors
+5

Variations and Revisions

5/17/2023

Status of Legislation

Bill Introduced
Introduced to House
House to Vote
Introduced to Senate
Senate to Vote

Purpose and Summary

Medicare for All Act

This bill establishes a national health insurance program that is administered by the Department of Health and Human Services (HHS).

Among other requirements, the program must (1) cover all U.S. residents; (2) provide for automatic enrollment of individuals upon birth or residency in the United States; and (3) cover items and services that are medically necessary or appropriate to maintain health or to diagnose, treat, or rehabilitate a health condition, including hospital services, prescription drugs, mental health and substance abuse treatment, dental and vision services, long-term care, gender affirming care, and reproductive care, including contraception and abortions.

The bill prohibits cost-sharing (e.g., deductibles, coinsurance, and copayments) and other charges for covered services. Additionally, private health insurers and employers may only offer coverage that is supplemental to, and not duplicative of, benefits provided under the program.

Health insurance exchanges and specified federal health programs terminate upon program implementation. However, the program does not affect coverage provided through the Department of Veterans Affairs or the Indian Health Service.

The bill also establishes a series of implementing provisions relating to (1) health care provider participation; (2) HHS administration; and (3) payments and costs, including the requirement that HHS negotiate prices for prescription drugs.

Individuals who are age 18 or younger, age 55 or older, or already enrolled in Medicare may enroll in the program starting one year after enactment of this bill; other individuals may buy into the program at this time. The program must be fully implemented two years after enactment.

Bill 118 hr 3421, also known as the Medicare for All Act, is a piece of legislation introduced in the US Congress. The main goal of this bill is to establish a single-payer healthcare system in the United States, where the government would be responsible for providing healthcare coverage to all Americans.

Under the Medicare for All Act, all US residents would be eligible for comprehensive healthcare benefits, including hospital visits, doctor's appointments, prescription drugs, and mental health services. This would be funded through a combination of taxes on individuals and businesses, as well as reallocating existing healthcare spending.

The bill aims to eliminate the need for private health insurance companies, as all healthcare services would be covered by the government. This would theoretically reduce administrative costs and streamline the healthcare system, making it more efficient and accessible to all Americans. Supporters of the Medicare for All Act argue that it would ensure that every American has access to quality healthcare, regardless of their income or employment status. They also believe that it would lower overall healthcare costs and improve health outcomes for the population. Opponents of the bill, however, raise concerns about the potential tax increases that would be necessary to fund the program, as well as the potential for government inefficiency and long wait times for medical services. Overall, the Medicare for All Act is a controversial piece of legislation that seeks to fundamentally change the way healthcare is provided in the United States. Its fate in Congress remains uncertain, but it has sparked a national debate about the future of healthcare in the country.
Alternative Names
Official Title as IntroducedTo establish an improved Medicare for All national health insurance program.

Policy Areas
Health

Potential Impact
Accounting and auditing
Administrative remedies
Advisory bodies
Alternative treatments
Budget process
Child health
Competition and antitrust
Comprehensive health care
Congressional oversight
Criminal investigation, prosecution, interrogation
Dental care
Department of Health and Human Services
Disability and health-based discrimination
Disability and paralysis
Drug safety, medical device, and laboratory regulation
Drug, alcohol, tobacco use
Emergency medical services and trauma care
Employee benefits and pensions
Executive agency funding and structure
Fraud offenses and financial crimes
Government information and archives
Government studies and investigations
Government trust funds
Health care costs and insurance
Health care coverage and access
Health care quality
Health facilities and institutions
Health information and medical records
Health personnel
Health programs administration and funding
Health promotion and preventive care
Health technology, devices, supplies
Hearing, speech, and vision care
Home and outpatient care
Hospital care
Immigration status and procedures
Income tax credits
Indian social and development programs
Infectious and parasitic diseases
Inflation and prices
Insurance industry and regulation
Law enforcement administration and funding
Licensing and registrations
Long-term, rehabilitative, and terminal care
Medicaid
Medical education
Medical research
Medical tests and diagnostic methods
Medicare
Mental health
Military medicine
Military personnel and dependents
Minority health
Natural disasters
Nursing
Prescription drugs
Public contracts and procurement
Racial and ethnic relations
Religion
Sex and reproductive health
Sex, gender, sexual orientation discrimination
State and local government operations
Wages and earnings
Women's health
Worker safety and health

Comments

Recent Activity

Latest Summary10/13/2023

Medicare for All Act

This bill establishes a national health insurance program that is administered by the Department of Health and Human Services (HHS).

Among other requirements, the program must (1) cover all U.S. resident...


Latest Action12/17/2024
Referred to the Subcommittee on Health.