Bills in Congress

Conyers bill of Feb 2003 (H.R.676):  U.S. National Health Insurance Act (or the Expanded and Improved Medicare for All Act)” — 38 co-sponsors
  • establishes a national health program for all US residents
  • various other stipulations changed since then

Sanders bill of Dec 2013 (S.1782):  American Health Security Act of 2013” — no co-sponsors
  • eliminates Titles XVIII (Medicare) and XIX (Medicaid)
  • repeals provisions of the AFA (the exchanges)

Conyers bill of Jan 2017 (H.R.676):  Expanded & Improved Medicare for All Act” — 24 co-sponsors
  • to cover all US residents with free health care (all spelled out)
  • only public or nonprofit institutions can participate

Sanders bill of Sept 2017 (S.1804): “Medicare for All Act of 2017” — 16 co-sponsors
  • establishes a national health insurance program to cover all US residents
  • over specified items and services
  • be fully implement in four years

Jayapal bill of Feb 2019 (H.R.1384):  Medicare for All Act of 2019” — 118 co-sponsors
  • establishes a national health insurance program administered by the DHHS
  • to cover all US residents with free health care (all spelled out)
  • terminates health insurance exchanges
  • establish implementing provisions relating to provider participation, admin, payments and costs, negotiating drug prices
  • be fully implemented in four years

Sanders bill of April 2019 (S.1129):  Medicare for All Act of 2019” —14 co-sponsors
Matches House version H.R.1384, sort of
Text has never changed, but Politico reported in Aug. 2019 that Sanders said “companies with union-negotiated... coverage would have to renegotiate their workers’ contracts [to be overseen by Natl Labor Relations Bd] ... any resulting health care savings from the single-payer system would be required to be returned to workers in the form of higher wages or more generous benefits.”  
Important differences (particularly on cost containment) described by Lambert Strether in Naked Capitalism:
Representative Jayapal’s bill, HR 1384, meets the definition of a single-payer bill as originally outlined in PNHP’s 1989 article and as most experts define the term. It contains the four elements of a single-payer system: It relies on one payer (HHS, not multiple payers called ACOs) to pay hospitals and doctors directly; and it authorizes budgets for hospitals, fee schedules for doctors, and price ceilings on prescription drugs.

Senator Sanders’ bill contains two of those four elements – fee schedules for doctors and limits on drug prices. That’s a good start. He should add the other two. He should get rid of Section 611(b), the section that authorizes ACOs, and thereby ensure HHS is the single payer. And he should add a section authorizing HHS to negotiate budgets with each of the nation’s hospitals.

Sanders bill of May 2022 (S.4204): “Medicare for All Act of 2022” —14 co-sponsors. Reintroduction of earlier Medicare for All bill; referred to Committee on Finance
  • covers all US residents
  • provides for automatic enrollment upon birth or residencys
  • covers items medically necessry 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, and home- and community-based long-term care
  • prohibits cost-sharing for covered services, except for drugs
  • private health insurers and employers may only offer coverage supplemental to benefits provided under this program

Jayapal bill of May 2023 (H.R.3421):  Medicare for All Act of 2023” — 112 co-sponsors; referred to committees; summary in progress as of July 2023

The Medicare for All Act builds upon and expands Medicare to provide comprehensive benefits to every person in the United States. This includes primary care, vision, dental, prescription drugs, mental health, substance abuse, long-term services and supports, reproductive health care, and more. The Medicare for All Act of 2023 also includes universal coverage of long-term care with no cost-sharing for older Americans and individuals with disabilities, and prioritizes home and community-based care over institutional care. Additionally, patients have the freedom to choose the doctors, hospitals, and other providers they wish to see without worrying about whether a provider is in-network. Importantly, the legislation streamlines the health care system to negotiate drug prices and reduce exorbitant administrative waste.”


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