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US HR676

US HR676
Expanded & Improved Medicare For All Act


summary

Introduced
01/24/2017
In Committee
02/10/2017
Crossed Over
Passed
Dead
12/31/2018

Introduced Session

115th Congress

Bill Summary

Expanded & Improved Medicare For All Act This bill establishes the Medicare for All Program to provide all individuals residing in the United States and U.S. territories with free health care that includes all medically necessary care, such as primary care and prevention, dietary and nutritional therapies, prescription drugs, emergency care, long-term care, mental health services, dental services, and vision care. Only public or nonprofit institutions may participate. Nonprofit health maintenance organizations (HMOs) that deliver care in their own facilities may participate. Patients may choose from participating physicians and institutions. Health insurers may not sell health insurance that duplicates the benefits provided under this bill. Insurers may sell benefits that are not medically necessary, such as cosmetic surgery benefits. The bill sets forth methods to pay institutional providers and health professionals for services. Financial incentives between HMOs and physicians based on utilization are prohibited. The program is funded: (1) from existing sources of government revenues for health care, (2) by increasing personal income taxes on the top 5% of income earners, (3) by instituting a progressive excise tax on payroll and self-employment income, (4) by instituting a tax on unearned income, and (5) by instituting a tax on stock and bond transactions. Amounts that would have been appropriated for federal public health care programs, including Medicare, Medicaid, and the Children's Health Insurance Program (CHIP), are transferred and appropriated to carry out this bill. The program must give employment transition benefits and first priority in retraining and job placement to individuals whose jobs are eliminated due to reduced clerical and administrative work under this bill. The Department of Health and Human Services must create a confidential electronic patient record system. The bill establishes a National Board of Universal Quality and Access to provide advice on quality, access, and affordability. The Indian Health Service must be integrated into the program after five years. Congress must evaluate the continued independence of Department of Veterans Affairs health programs.

AI Summary

This bill establishes the Medicare for All Program to provide all individuals residing in the United States and U.S. territories with free, comprehensive health care coverage, including primary care, prescription drugs, long-term care, and other essential services. Only public or non-profit healthcare providers may participate in the program. The program is funded through a combination of existing government healthcare funding, increased taxes on high-income earners and financial transactions, and savings from reduced administrative costs. The bill establishes a national administrative structure with regional offices, a National Board of Universal Quality and Access, and employment transition benefits for workers displaced by the new system. The Department of Veterans Affairs and Indian Health Service programs will initially remain independent but may be integrated into the program after a transition period.

Committee Categories

Business and Industry, Government Affairs, Health and Social Services

Sponsors (125)

John Conyers (D)* Alma Adams (D),  Nanette Barragán (D),  Karen Bass (D),  Joyce Beatty (D),  Don Beyer (D),  Sanford Bishop (D),  Earl Blumenauer (D),  Suzanne Bonamici (D),  Brendan Boyle (D),  Robert Brady (D),  Anthony Brown (D),  G. Butterfield (D),  Michael Capuano (D),  André Carson (D),  Matt Cartwright (D),  Kathy Castor (D),  Judy Chu (D),  David Cicilline (D),  Katherine Clark (D),  Yvette Clarke (D),  Lacy Clay (D),  Emanuel Cleaver (D),  Jim Clyburn (D),  Steve Cohen (D),  Jim Cooper (D),  Lou Correa (D),  Joseph Crowley (WFP),  Elijah Cummings (D),  Danny Davis (D),  Peter DeFazio (D),  Diana DeGette (D),  Mark DeSaulnier (D),  Theodore Deutch (D),  Debbie Dingell (D),  Michael Doyle (D),  Keith Ellison (D),  Eliot Engel (D),  Anna Eshoo (D),  Adriano Espaillat (D),  Dwight Evans (D),  Lois Frankel (D),  Marcia Fudge (D),  Tulsi Gabbard (D),  Ruben Gallego (D),  John Garamendi (D),  Jimmy Gomez (D),  Vicente Gonzalez (D),  Al Green (D),  Gene Green (D),  Raúl Grijalva (D),  Luis Gutiérrez (D),  Alcee Hastings (D),  Brian Higgins (D),  Jared Huffman (D),  Sheila Jackson-Lee (D),  Pramila Jayapal (D),  Hakeem Jeffries (D),  Eddie Johnson (D),  Hank Johnson (D),  Brenda Jones (D),  Marcy Kaptur (D),  Robin Kelly (D),  Ro Khanna (D),  James Langevin (D),  Brenda Lawrence (D),  Al Lawson (D),  Barbara Lee (D),  John Lewis (D),  Ted Lieu (D),  David Loebsack (D),  Zoe Lofgren (D),  Alan Lowenthal (D),  Nita Lowey (D),  Carolyn Maloney (D),  Doris Matsui (D),  Jim McGovern (D),  Jerry McNerney (D),  Gregory Meeks (D),  Grace Meng (D),  Gwen Moore (D),  Jerry Nadler (D),  Grace Napolitano (D),  Richard Nolan (D),  Donald Norcross (D),  Eleanor Holmes Norton (D),  Jimmy Panetta (D),  Donald Payne (D),  Ed Perlmutter (D),  Chellie Pingree (D),  Mark Pocan (D),  Jared Polis (D),  David Price (D),  Jamie Raskin (D),  Lucille Roybal-Allard (D),  Bobby Rush (D),  Tim Ryan (D),  Kilili Sablan (D),  Linda Sánchez (D),  John Sarbanes (D),  Jan Schakowsky (D),  Adam Schiff (D),  Bobby Scott (D),  José Serrano (D),  Brad Sherman (D),  Albio Sires (D),  Louise Slaughter (D),  Adam Smith (D),  Darren Soto (D),  Jackie Speier (D),  Eric Swalwell (D),  Mark Takano (D),  Bennie Thompson (D),  Mike Thompson (D),  Dina Titus (D),  Paul Tonko (D),  Marc Veasey (D),  Filemón Vela (D),  Nydia Velázquez (D),  Peter Visclosky (D),  Maxine Waters (D),  Bonnie Watson Coleman (D),  Peter Welch (D),  Frederica Wilson (D),  John Yarmuth (D), 

Last Action

ASSUMING FIRST SPONSORSHIP - Mr. Ellison asked unanimous consent that he may hereafter be considered as the first sponsor of H.R. 676, a bill originally introduced by former Representative Conyers, for purposes of adding cosponsors and requesting reprintings pursuant to clause 7 of rule XII. Agreed to without objection. (on 03/07/2018)

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