A Democratic bill with 118 Democratic cosponsors · See all 118 cosponsors
Last activity — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Workforce, Rules, Oversight and Government Reform, Armed Services, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
This bill establishes a national Medicare-for-All health insurance program to provide comprehensive health coverage to United States residents. It creates a universal enrollment system that issues a Universal Medicare card and eliminates cost-sharing like deductibles, copayments, and balance billing for covered services. The program covers a wide range of medical care, including hospital services, long-term care, prescription drugs, dental, vision, and mental health care. Over a two-year transition period, certain age groups become eligible early, and existing programs like the ACA exchanges and traditional Medicare are eventually phased out. Funding is channeled through a newly created Universal Medicare Trust Fund, and the Secretary of Health and Human Services is given broad authority to set budgets and negotiate provider payments and drug prices.
Yes· 3 of 53
- Scored +10
Would children be better off under this?
Provides automatic enrollment at birth and comprehensive pediatric coverage.
- Scored +10
Would people in their twenties and thirties be better off under this?
Guarantees universal access to health care regardless of employment status.
- Scored +10
Would people over 65 be better off under this?
Expands Medicare to include comprehensive long-term care and removes cost-sharing.
The opposite· 3 of 7
- Scored -10
Does this lower what people pay for private health insurance?
Bans private insurers from selling coverage that duplicates the act's benefits, effectively eliminating the primary private insurance market.
- Scored -10
Does this give the government more power to monitor people inside the country?
Explicitly prohibits the use of program resources for law enforcement of registration requirements based on immigration, religion, or national origin.
- Scored -8
Does this strengthen the Affordable Care Act?
Sunsets State Exchanges and other ACA-related provisions to transition to the single-payer system.
Who it would affect, and how
Potential Positive Impacts for People
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Section 102 grants universal health care coverage to every United States resident, ensuring that all people living in the country have access to necessary health services.
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Section 202 explicitly prohibits any cost-sharing, including deductibles, coinsurance, copayments, or balance billing, which protects everyday people from out-of-pocket medical expenses and unexpected bills.
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Section 201 and Section 204 provide a comprehensive set of benefits—including hospital care, prescription drugs, mental health services, and long-term care services—giving individuals robust support for various health and daily living needs.
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Section 301 protects healthcare employees and providers from retaliation by establishing whistleblower protections, ensuring workers can report safety violations or ethical concerns without fear of losing their jobs.
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Section 617 requires the Secretary to annually negotiate the prices of prescription drugs and medical devices, which can help lower the cost of medications for the public.
Potential Negative Impacts for People
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Section 107 makes it unlawful for private health insurers to sell health insurance coverage that duplicates the benefits provided under the Act, and stops employers from providing duplicative employee health benefits, which removes current private insurance choices for individuals and workers.
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Section 902 terminates the Federal and State Health Insurance Exchanges two years after the enactment of the Act, ending the availability of plans and subsidies previously offered through those exchanges.
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Section 614 prohibits payments to providers from taking into account or being used for provider profits, marketing, or incentive payments based on patient utilization, which could potentially disrupt existing operations or compensation structures for certain healthcare providers and facilities.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would children be better off under this? — Provides automatic enrollment at birth and comprehensive pediatric coverage. Would immigrants be better off under this? — Grants health care eligibility to all residents and prohibits use of data for immigration enforcement. Would LGBTQ people be better off under this? — Explicitly protects against discrimination and covers gender-affirming care. Would households on low incomes be better off under this? — Removes all financial barriers to health care including copayments and deductibles. Would Native Americans be better off under this? — Includes supplemental funding for Indian Health Services and mandates consultation with Tribes. Would people with disabilities be better off under this? — Removes Medicare waiting periods and prioritizes home- and community-based long-term services. Would retired people be better off under this? — Eliminates Medicare cost-sharing and expands long-term care coverage. Would people over 65 be better off under this? — Expands Medicare to include comprehensive long-term care and removes cost-sharing. Would women be better off under this? — Guarantees comprehensive reproductive, maternity, and gender-affirming health care. Would people in their twenties and thirties be better off under this? — Guarantees universal access to health care regardless of employment status. Would Black Americans be better off under this? — Directly addresses racial health disparities through the Office of Health Equity and protects against immigration-based surveillance. Would Asian Americans be better off under this? — Provides universal access and mandates tracking of disparities for Asian ethnic groups. Would Hispanic Americans be better off under this? — Provides coverage to all residents regardless of immigration status and addresses ethnic disparities. Would people in rural areas be better off under this? — Targeted funding for rural facility construction and staffing. Would students be better off under this? — Ensures continuous health coverage independent of parents' or employers' insurance. Would men be better off under this? — Provides universal access to all medically necessary services. Would people in middle age be better off under this? — Removes high costs of private insurance and deductibles. Would middle-income households be better off under this? — Eliminates health insurance premiums and out-of-pocket costs. Would people in cities be better off under this? — Provides universal access and comprehensive benefits. Would white Americans be better off under this? — Provides universal, comprehensive health coverage and eliminates out-of-pocket costs. Would farmers be better off under this? — Increases funding and staffing for health care in rural and underserved areas. Would veterans be better off under this, taking everything together? — Allows VA providers to participate and ensures no negative effect on existing Title 38 benefits. Would union members be better off under this? — Provides comprehensive care and protects collective bargaining agreements. Would business owners be better off under this? — Balances the relief of providing insurance with the disruption of existing business insurance models. Would high-income households be better off under this? — Provides guaranteed high-quality care, though potentially through higher tax burdens.
- Healthcare
- Does this make abortion easier to get? — Explicitly covers comprehensive reproductive care, including abortion, and removes funding restrictions. Does this make health care easier to get in general? — Guarantees universal health care coverage to every resident of the United States and eliminates waiting periods for disabled individuals. Does this make mental health care easier to get? — Explicitly includes mental health and substance use treatment as comprehensive benefits. Does this put more money into Medicare, the health coverage for people over 65? — Creates a Universal Medicare Trust Fund to provide comprehensive coverage to all US residents, absorbing existing federal programs. Does this lower the price of prescription medicines? — Empowers the Secretary to negotiate drug prices annually and use competitive licensing to lower costs. Does this do more about addiction and overdose deaths? — Comprehensive benefits include mandated substance use treatment services. Does this make the country readier for the next outbreak? — Creates a reserve fund for epidemics/pandemics and mandates PPE stockpiles for institutional providers. Does this lower what a hospital stay costs? — Eliminates deductibles, copayments, and balance billing for patients. Does this help veterans get medical care? — Qualifies VA providers to participate and explicitly preserves eligibility for medical benefits provided under title 38. Does this put more money into medical research? — Allocates specific budget components for health professional education and research activities. Does this put more money into Medicaid, the health coverage for people on low incomes? — While it sunsets existing Medicaid in favor of a universal program, it integrates and expands Medicaid-level comprehensive services for all. Does this lower what people pay for private health insurance? — Bans private insurers from selling coverage that duplicates the act's benefits, effectively eliminating the primary private insurance market. Does this strengthen the Affordable Care Act? — Sunsets State Exchanges and other ACA-related provisions to transition to the single-payer system.
- Social Issues And Justice
- Does this expand the rights of people with disabilities? — Removes the 24-month Medicare waiting period for disabled individuals and prioritizes home-based long-term care. Does this expand the rights of LGBTQ people? — Explicitly covers gender-affirming care and prohibits discrimination based on gender identity and sexual orientation. Does this narrow the gap between how men and women are treated? — Ensures comprehensive reproductive and maternity care for all residents regardless of income. Does this narrow racial gaps in how people are treated? — Establishes the Office of Health Equity to track and mitigate racial and ethnic health disparities and protects against ethnicity-based law enforcement. Is this likely to lift people out of poverty? — Eliminates health care costs for low-income individuals, reducing a major driver of medical poverty.
- Governance And Ideology
- Does this give the federal government more power? — Centralizes all health insurance administration under a single federal program, eliminating most state and private roles. Does this protect people from being watched or searched? — Strictly limits the disclosure of personally identifiable information to law enforcement and immigration agencies. Does this make what the government does easier for the public to see? — Requires extensive reporting on expenditures, outcomes, and health disparities to be made publicly available. Does this protect the right to fair treatment by the courts? — Establishes administrative appeal processes for coverage decisions and non-discrimination claims. Does this leave more decisions to the states? — Overrides state-level insurance regulations and terminates state-run ACA exchanges.
- Environment Energy And Infrastructure
- Does this invest in rural communities? — Provides a special projects budget specifically for staffing and construction of facilities in rural areas. Does this improve help for people hit by a disaster? — Establishes a reserve fund to respond to the costs of natural disasters.
- Education And Technology
- Does this give people more control over their personal data? — Prohibits the use of health data for law enforcement or immigration purposes. Does this put more money into scientific research? — Includes health professional education and research expenditures in the national health budget. Does this make patent and copyright rules fairer? — Allows the Secretary to authorize competitive licensing of pharmaceutical patents if prices are not negotiated.
- National Security And Foreign Policy
- Does this increase the pay, pensions or support veterans receive? — Integrates VA providers into the universal system and ensures the program does not negatively affect veteran medical benefits. Does this give the government more power to monitor people inside the country? — Explicitly prohibits the use of program resources for law enforcement of registration requirements based on immigration, religion, or national origin.
- Economy And Finance
- Does this give people more protection from unfair business practices? — Eliminates balance billing and cost-sharing, providing significant financial protection for health care consumers. Does this make it easier to run a small business? — Removes the financial and administrative burden of providing health insurance from small businesses by prohibiting duplicating coverage. Does this strengthen the rights of workers to organise? — The bill requires consultation with labor organizations and ensures that collective bargaining agreements are not diminished. Does this reduce what the federal government spends? — The act establishes a massive new national health budget and Trust Fund, significantly increasing federal expenditures. Does this make the government pay for what it commits to? — The shift to a single-payer system with a national health budget represents a major expansion of federal fiscal liability.
- 10/22/2026
- 1 Cosponsor added.
- 9/24/2026
- 1 Cosponsor added.
- 9/16/2026
- 1 Cosponsor added.
- 9/14/2026
- 1 Cosponsor added.
- 4/27/2026
- 1 Cosponsor added.
- 4/21/2026
- 1 Cosponsor added.
- 3/2/2026
- 1 Cosponsor added.
- 12/18/2025
- 1 Cosponsor added.
- 12/10/2025
- 2 Cosponsors added.
- 12/2/2025
- 1 Cosponsor added.
- 11/20/2025
- 1 Cosponsor added.
- 9/3/2025
- 1 Cosponsor added.
- 4/29/2025
- Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Workforce, Rules, Oversight and Government Reform, Armed Services, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 105 Cosponsors added.
- Introduced in House
Alma AdamsDemocrat · North Carolina
Yassamin AnsariDemocrat · Arizona
Suzanne BonamiciDemocrat · Oregon
Donald BeyerDemocrat · Virginia
Brendan BoyleDemocrat · Pennsylvania
Nanette BarragánDemocrat · California
Shontel BrownDemocrat · Ohio
Becca BalintDemocrat · Vermont
Wesley BellDemocrat · Missouri
Janelle BynumDemocrat · Oregon
Everton BlairDemocrat · Georgia
Emanuel CleaverDemocrat · Missouri
Yvette ClarkeDemocrat · New York
Steve CohenDemocrat · Tennessee
André CarsonDemocrat · Indiana
Judy ChuDemocrat · California
Salud CarbajalDemocrat · California
Jason CrowDemocrat · Colorado
Troy CarterDemocrat · Louisiana
Sheila Cherfilus-McCormickDemocrat · Florida
Jasmine CrockettDemocrat · Texas
Greg CasarDemocrat · Texas
Danny DavisDemocrat · Illinois
Diana DeGetteDemocrat · Colorado
Lloyd DoggettDemocrat · Texas
Christopher DeluzioDemocrat · Pennsylvania
Mark DeSaulnierDemocrat · California
Debbie DingellDemocrat · Michigan
Maxine DexterDemocrat · Oregon
Adriano EspaillatDemocrat · New York
Veronica EscobarDemocrat · Texas
Sarah ElfrethDemocrat · Maryland
Lois FrankelDemocrat · Florida
Maxwell FrostDemocrat · Florida
Valerie FousheeDemocrat · North Carolina
Shomari FiguresDemocrat · Alabama
Laura FriedmanDemocrat · California
Al GreenDemocrat · Texas
John GaramendiDemocrat · California
Jimmy GomezDemocrat · California
Jesús GarcíaDemocrat · Illinois
Robert GarciaDemocrat · California
Daniel GoldmanDemocrat · New York
Adelita GrijalvaDemocrat · Arizona
Jared HuffmanDemocrat · California
Jahana HayesDemocrat · Connecticut
Josh HarderDemocrat · California
Val HoyleDemocrat · Oregon
Glenn IveyDemocrat · Maryland
Henry JohnsonDemocrat · Georgia
Sara JacobsDemocrat · California
Jonathan JacksonDemocrat · Illinois
Julie JohnsonDemocrat · Texas
William KeatingDemocrat · Massachusetts
Robin KellyDemocrat · Illinois
Ro KhannaDemocrat · California
Sydney Kamlager-DoveDemocrat · California
Timothy KennedyDemocrat · New York
Teresa Leger FernandezDemocrat · New Mexico
Zoe LofgrenDemocrat · California
John LarsonDemocrat · Connecticut
Ted LieuDemocrat · California
Mike LevinDemocrat · California
Summer LeeDemocrat · Pennsylvania
James McGovernDemocrat · Massachusetts
Kweisi MfumeDemocrat · Maryland
Gregory MeeksDemocrat · New York
Betty McCollumDemocrat · Minnesota
Grace MengDemocrat · New York
Jared MoskowitzDemocrat · Florida
Morgan McGarveyDemocrat · Kentucky
Kevin MullinDemocrat · California
LaMonica McIverDemocrat · New Jersey
April McClain DelaneyDemocrat · Maryland
Dave MinDemocrat · California
Christian MenefeeDemocrat · Texas
Analilia MejiaDemocrat · New Jersey
Jerrold NadlerDemocrat · New York
Eleanor NortonDemocrat · District of Columbia
Joe NeguseDemocrat · Colorado
Alexandria Ocasio-CortezDemocrat · New York
Ilhan OmarDemocrat · Minnesota
Frank PalloneDemocrat · New Jersey
Chellie PingreeDemocrat · Maine
Mark PocanDemocrat · Wisconsin
Jimmy PanettaDemocrat · California
Ayanna PressleyDemocrat · Massachusetts
Mike QuigleyDemocrat · Illinois
Jamie RaskinDemocrat · Maryland
Delia RamirezDemocrat · Illinois
Luz RivasDemocrat · California
Emily RandallDemocrat · Washington
Robert ScottDemocrat · Virginia
Brad ShermanDemocrat · California
Adam SmithDemocrat · Washington
Janice SchakowskyDemocrat · Illinois
Linda SánchezDemocrat · California
Eric SwalwellDemocrat · California
Melanie StansburyDemocrat · New Mexico
Andrea SalinasDemocrat · Oregon
Lateefah SimonDemocrat · California
Bennie ThompsonDemocrat · Mississippi
Mike ThompsonDemocrat · California
Dina TitusDemocrat · Nevada
Paul TonkoDemocrat · New York
Mark TakanoDemocrat · California
Rashida TlaibDemocrat · Michigan
Lori TrahanDemocrat · Massachusetts
Ritchie TorresDemocrat · New York
Jill TokudaDemocrat · Hawaii
Shri ThanedarDemocrat · Michigan
Nydia VelázquezDemocrat · New York
Juan VargasDemocrat · California
Maxine WatersDemocrat · California
Nikema WilliamsDemocrat · Georgia
Frederica WilsonDemocrat · Florida
Bonnie Watson ColemanDemocrat · New Jersey
Aisha WahabDemocrat · California