United States National Health Insurance Act (or the Expanded and Improved Medicare for All Act)
Latest action · Feb 2, 2007 Referred to the Subcommittee on Health.
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedJan 24, 2007
- Passed HouseNot reached
- Passed SenateNot reached
- To the PresidentNot reached
- Became lawNot reached
Summary
United States National Health Insurance Act (or the Expanded and Improved Medicare for All Act) - Establishes the United States National Health Insurance (USNHI) Program (the Program) to provide all individuals residing in the United States and in U.S. territories with free health care that includes all medically necessary care, such as primary care and prevention, prescription drugs, emergency care, and mental health services.
Prohibits an institution from participating in the Program unless it is a public or nonprofit institution. Allows nonprofit health maintenance organizations (HMOs) that actually deliver care in their own facilities to participate in the Program.
Gives patients the freedom to choose from participating physicians and institutions.
Prohibits a private health insurer from selling health insurance coverage that duplicates the benefits provided under this Act. Allows such insurers to sell benefits that are not medically necessary, such as cosmetic surgery benefits.
Sets forth methods to pay hospitals and health professionals for services. Prohibits financial incentives between HMOs and physicians based on utilization.
Establishes the USNHI Trust Fund to finance the Program with amounts deposited: (1) from existing sources of Government revenues for health care; (2) by increasing personal income taxes on the top 5% income earners; (3) by instituting a progressive excise tax on payroll and self-employment income; and (4) by instituting a small tax on stock and bond transactions.
Requires the Program to give first priority in retraining and job placement and unemployment benefits to individuals whose jobs are eliminated due to reduced administration.
Establishes a National Board of Universal Quality and Access to provide advice on quality, access, and affordability.
Provides for the eventual integration of the Indian Health Service into the Program.
Cosponsors 93
Members who signed on, in the order they did. Signatures ran from Jan 24, 2007 to Sep 29, 2008; 42 are original cosponsors, there from the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| D-TX | Al Green | Original | Jan 24, 2007 |
| D-MD | Albert Russell Wynn | Original | Jan 24, 2007 |
| D-NY | Anthony D. Weiner | Original | Jan 24, 2007 |
| D-CA | Barbara Lee | Original | Jan 24, 2007 |
| D-CA | Bob Filner | Original | Jan 24, 2007 |
| D-MI | Carolyn C. Kilpatrick | Original | Jan 24, 2007 |
| D-PA | Chaka Fattah | Original | Jan 24, 2007 |
| D-NY | Charles B. Rangel | Original | Jan 24, 2007 |
| D-IL | Danny K. Davis | Original | Jan 24, 2007 |
| D-IA | David Loebsack | Original | Jan 24, 2007 |
| D-OH | Dennis J. Kucinich | Original | Jan 24, 2007 |
| D-CA | Diane E. Watson | Original | Jan 24, 2007 |
| D-NJ | Donald M. Payne | Original | Jan 24, 2007 |
| D-VI | Donna M. Christensen | Original | Jan 24, 2007 |
| D-AZ | Ed Pastor | Original | Jan 24, 2007 |
| D-TX | Eddie Bernice Johnson | Original | Jan 24, 2007 |
| D-NY | Edolphus Towns | Original | Jan 24, 2007 |
| D-MD | Elijah E. Cummings | Original | Jan 24, 2007 |
| D-NY | Eliot L. Engel | Original | Jan 24, 2007 |
| D-CA | George Miller | Original | Jan 24, 2007 |
| D-WI | Gwen Moore | Original | Jan 24, 2007 |
| D-MA | James P. McGovern | Original | Jan 24, 2007 |
| D-IL | Jesse L. Jackson, Jr. | Original | Jan 24, 2007 |
| D-WA | Jim McDermott | Original | Jan 24, 2007 |
| D-GA | John Lewis | Original | Jan 24, 2007 |
| D-IN | Julia Carson | Original | Jan 24, 2007 |
| D-MN | Keith Ellison | Original | Jan 24, 2007 |
| D-CA | Lucille Roybal-Allard | Original | Jan 24, 2007 |
| D-IL | Luis V. Gutierrez | Original | Jan 24, 2007 |
| D-CA | Lynn C. Woolsey | Original | Jan 24, 2007 |
| D-MA | Martin T. Meehan | Original | Jan 24, 2007 |
| D-NY | Maurice D. Hinchey | Original | Jan 24, 2007 |
| D-CA | Michael M. Honda | Original | Jan 24, 2007 |
| D-NY | Michael R. McNulty | Original | Jan 24, 2007 |
| D-HI | Neil Abercrombie | Original | Jan 24, 2007 |
| D-AZ | Raúl M. Grijalva | Original | Jan 24, 2007 |
| D-VA | Robert C. "Bobby" Scott | Original | Jan 24, 2007 |
| D-FL | Robert Wexler | Original | Jan 24, 2007 |
| D-CA | Sam Farr | Original | Jan 24, 2007 |
| D-TX | Sheila Jackson Lee | Original | Jan 24, 2007 |
| D-WI | Tammy Baldwin | Original | Jan 24, 2007 |
| D-MO | Wm. Lacy Clay | Original | Jan 24, 2007 |
| D-FL | Alcee L. Hastings | Jan 29, 2007 | |
| D-NY | Carolyn B. Maloney | Jan 29, 2007 | |
| D-NY | Jerrold Nadler | Jan 29, 2007 | |
| D-CA | Maxine Waters | Jan 29, 2007 | |
| D-IL | Bobby L. Rush | Feb 6, 2007 | |
| D-NY | Jose E. Serrano | Feb 7, 2007 | |
| D-TN | Steve Cohen | Feb 7, 2007 | |
| D-MA | Bill Delahunt | Feb 12, 2007 | |
| D-CA | Hilda L. Solis | Feb 12, 2007 | |
| D-OH | Marcy Kaptur | Feb 12, 2007 | |
| D-GA | Henry C. "Hank" Johnson, Jr. | Feb 13, 2007 | |
| D-MA | John W. Olver | Feb 16, 2007 | |
| D-NY | Yvette D. Clarke | Feb 16, 2007 | |
| D-CA | Grace F. Napolitano | Feb 27, 2007 | |
| D-KY | John A. Yarmuth | Feb 27, 2007 | |
| D-PA | Robert A. Brady | Feb 27, 2007 | |
| D-NM | Tom Udall | Feb 27, 2007 | |
| D-MA | Barney Frank | Mar 7, 2007 | |
| D-DC | Eleanor Holmes Norton | Mar 21, 2007 | |
| D-PA | Michael F. Doyle | Mar 21, 2007 | |
| D-OH | Betty Sutton | Mar 27, 2007 | |
| D-FL | Corrine Brown | Apr 17, 2007 | |
| D-MI | Dale E. Kildee | Apr 17, 2007 | |
| D-IL | Janice D. Schakowsky | Apr 17, 2007 | |
| D-CA | Linda T. Sánchez | Apr 23, 2007 | |
| D-IL | Phil Hare | Apr 30, 2007 | |
| D-VT | Peter Welch | May 3, 2007 | |
| D-OH | Tim Ryan | May 8, 2007 | |
| D-OH | Stephanie Tubbs Jones | May 23, 2007 | |
| D-MS | Bennie G. Thompson | Jun 12, 2007 | |
| D-CA | Xavier Becerra | Jun 13, 2007 | |
| D-CA | Howard L. Berman | Jun 15, 2007 | |
| D-LA | William J. Jefferson | Jun 26, 2007 | |
| D-HI | Mazie K. Hirono | Jul 23, 2007 | |
| D-MA | John F. Tierney | Sep 6, 2007 | |
| D-CA | Joe Baca | Sep 17, 2007 | |
| D-GA | David Scott | Sep 20, 2007 | |
| D-NY | Gregory W. Meeks | Sep 20, 2007 | |
| D-CA | Laura Richardson | Sep 20, 2007 | |
| D-CA | Loretta Sanchez | Sep 20, 2007 | |
| D-RI | Patrick J. Kennedy | Sep 24, 2007 | |
| D-CA | Tom Lantos | Oct 1, 2007 | |
| D-MA | Stephen F. Lynch | Oct 9, 2007 | |
| D-MA | Michael E. Capuano | Nov 9, 2007 | |
| D-GA | Sanford D. Bishop, Jr. | Dec 11, 2007 | |
| D-VA | James P. Moran | Jan 22, 2008 | |
| D-MO | Emanuel Cleaver | Apr 22, 2008 | |
| D-SC | James E. Clyburn | Apr 24, 2008 | |
| D-IN | André Carson | Jul 10, 2008 | |
| D-NJ | Rush Holt | Sep 18, 2008 | |
| D-MD | Donna F. Edwards | Sep 29, 2008 |
Committees 3
Where it was sent and what each committee and subcommittee did with it, in order.
| Chamber | Committee | What it did |
|---|---|---|
| House | Energy and Commerce Committee | Referred Jan 24, 2007 |
| Health Subcommittee | Referred Feb 2, 2007 | |
| House | Ways and Means Committee | Referred Jan 24, 2007 |
| Health Subcommittee | Referred Jan 30, 2007 | |
| House | Natural Resources Committee | Referred Jan 24, 2007 |
Actions 4
Everything that happened, newest first.
- Feb 2, 2007Referred to the Subcommittee on Health.
- Jan 30, 2007Referred to the Subcommittee on Health.
- Jan 24, 2007Introduced in House
- Jan 24, 2007Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Natural Resources, 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 the Congressional Record 9
Days the Record’s own index lists this bill, newest first, with the pages and the members it names. Pages starting H are the House, S the Senate, E Extensions of Remarks.
| Where | In the Record | Members | Date |
|---|---|---|---|
| House | Debate and remarks H10688 | Dennis J. Kucinich D-OH | Oct 2, 2008 |
| House | Debate and remarks H7132 | Sheila Jackson Lee D-TX | Jul 24, 2008 |
| House | Debate and remarks H5181–H5186 | Diane E. Watson D-CA, Janice D. Schakowsky D-IL, Lynn C. Woolsey D-CA, Sheila Jackson Lee D-TX, Steve Cohen D-TN | Jun 10, 2008 |
| House | Debate and remarks H3002–H3006 | Dennis J. Kucinich D-OH, John Conyers, Jr. D-MI, Robert Wexler D-FL | May 1, 2008 |
| Extensions | Debate and remarks E546 | John Conyers, Jr. D-MI | Apr 8, 2008 |
Research
What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.
Printed hearings 8
Hearings whose printed record names this bill, newest first: hearings on it, and wider hearings where it came up.
| Number | Hearing | Committee | Held |
|---|---|---|---|
| Serial No. 110-112 | BUSINESS PRACTICES IN THE INDIVIDUAL HEALTH INSURANCE MARKET: TERMINATION OF COVERAGE107 pages | Oversight and Government Reform Committee | Jul 17, 2008 |
| Serial No. 110-91 | STATE COVERAGE INITIATIVES90 pages | Ways and Means Committee | Jul 15, 2008 |
| Serial No. 110-186 | ONLINE PHARMACIES AND THE PROBLEM OF INTERNET DRUG ABUSE87 pages | Judiciary Committee | Jun 24, 2008 |
| Serial No. 110-89 | NEED FOR GREEN CARDS FOR HIGHLY SKILLED WORKERS99 pages | Judiciary Committee | Jun 12, 2008 |
| — | DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, EDUCATION, AND RELATED AGENCIES APPROPRIATIONS FOR 2009410 pages | Appropriations Committee | Feb 13, 2008–Mar 12, 2008 |
Titles 2
Every title it has carried, official and short, at each stage.
- Official Title as Introduced
- To provide for comprehensive health insurance coverage for all United States residents, and for other purposes.
- Short Titles as Introduced
- United States National Health Insurance Act (or the Expanded and Improved Medicare for All Act)
Subjects
Assigned by the Library of Congress. Policy area: Health.
- Access to health care
- Accreditation (Medical care)
- Advice and consent of the Senate
- Ambulatory care
- Appropriations
- Armed Forces and National Security
- Bonds
- Building construction
- Capital budgets
- Capital investments
- Capitation (Medical care)
- Chiropractic and chiropractors
- Civil Rights and Liberties, Minority Issues
- Clinics
- Coinsurance
- Commerce
- Community health services
- Compensation (Law)
- Comprehensive health care
- Congress
- Congressional reporting requirements
- Dental care
- Dentists
- Department of Health and Human Services
- Dislocated workers
- Drug abuse
- Drug abuse treatment
- Drugs
- Economics and Public Finance
- Education
- Electronic data interchange
- Emergency Management
- Emergency medicine
- Excise tax
- Executive reorganization
- Eye care
- Families
- Federal aid to child health services
- Federal aid to education
- Federal-state relations
- Finance and Financial Sector
- Generic drugs
- Government Operations and Politics
- Government paperwork
- Government trust funds
- Group medical practice
- Health
- Health counseling
- Health education
- Health facilities
- Health insurance
- Health insurance portability
- Health maintenance organizations
- Health planning
- Hearing
- Hearing aids
- Higher education
- Home care services
- Hospital care
- Hospital rates
- Hospitals
- Identification devices
- Income tax
- Indian medical care
- Insurance premiums
- Investments
- Investors
- Job hunting
- Labor and Employment
- Law
- Licenses
- Long-term care
- Long-term care insurance
- Managed care
- Medicaid
- Medical economics
- Medical education
- Medical fees
- Medical personnel
- Medical records
- Medical residents
- Medical supplies
- Medically uninsured
- Medicare
- Mental health services
- Mental illness
- Midwives
- Minorities
- Minority health
- National health insurance
- Native Americans
- Nonprofit organizations
- Nurse practitioners
- Nursing homes
- Occupational retraining
- Occupational therapy
- Optometry
- Osteopathy and osteopaths
- Patients' rights
- Payroll deductions
- Physicians
- Physicians' assistants
- Poor children
- Prescription pricing
- Presidential appointments
- Preventive medicine
- Prosthesis
- Psychologists
- Public health
- Quality of care
- Right of privacy
- Salaries
- Science, Technology, Communications
- Social Welfare
- State laws
- Tax rates
- Taxation
- Unemployment insurance
- Veterans' medical care
- Withholding tax
Text 1
Each version as it was printed, newest first.
- Jan 24, 2007Introduced in House
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.
