Expanded & Improved Medicare For All Act
Latest action · Mar 7, 2018 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.
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, 2017
- Passed HouseNot reached
- Passed SenateNot reached
- To the PresidentNot reached
- Became lawNot reached
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.
Cosponsors 124
Members who signed on, in the order they did. Signatures ran from Jan 24, 2017 to Dec 6, 2018; 51 are original cosponsors, there from the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| D-TX | Al Green | Original | Jan 24, 2017 |
| D-FL | Alcee L. Hastings | Original | Jan 24, 2017 |
| D-NC | Alma S. Adams | Original | Jan 24, 2017 |
| D-CA | Barbara Lee | Original | Jan 24, 2017 |
| D-MS | Bennie G. Thompson | Original | Jan 24, 2017 |
| D-NJ | Bonnie Watson Coleman | Original | Jan 24, 2017 |
| D-MI | Brenda L. Lawrence | Original | Jan 24, 2017 |
| D-ME | Chellie Pingree | Original | Jan 24, 2017 |
| D-OR | Earl Blumenauer | Original | Jan 24, 2017 |
| D-DC | Eleanor Holmes Norton | Original | Jan 24, 2017 |
| D-MD | Elijah E. Cummings | Original | Jan 24, 2017 |
| D-NY | Eliot L. Engel | Original | Jan 24, 2017 |
| D-MO | Emanuel Cleaver | Original | Jan 24, 2017 |
| D-CA | Grace F. Napolitano | Original | Jan 24, 2017 |
| D-WI | Gwen Moore | Original | Jan 24, 2017 |
| D-NY | Hakeem S. Jeffries | Original | Jan 24, 2017 |
| D-GA | Henry C. "Hank" Johnson, Jr. | Original | Jan 24, 2017 |
| D-SC | James E. Clyburn | Original | Jan 24, 2017 |
| D-MA | James P. McGovern | Original | Jan 24, 2017 |
| D-IL | Janice D. Schakowsky | Original | Jan 24, 2017 |
| D-CA | Jared Huffman | Original | Jan 24, 2017 |
| D-NY | Jerrold Nadler | Original | Jan 24, 2017 |
| D-CA | John Garamendi | Original | Jan 24, 2017 |
| D-GA | John Lewis | Original | Jan 24, 2017 |
| D-NY | Jose E. Serrano | Original | Jan 24, 2017 |
| D-OH | Joyce Beatty | Original | Jan 24, 2017 |
| D-CA | Judy Chu | Original | Jan 24, 2017 |
| D-MA | Katherine M. Clark | Original | Jan 24, 2017 |
| D-MN | Keith Ellison | Original | Jan 24, 2017 |
| D-CA | Lucille Roybal-Allard | Original | Jan 24, 2017 |
| D-OH | Marcy Kaptur | Original | Jan 24, 2017 |
| D-CA | Mark DeSaulnier | Original | Jan 24, 2017 |
| D-WI | Mark Pocan | Original | Jan 24, 2017 |
| D-CA | Mark Takano | Original | Jan 24, 2017 |
| D-PA | Matt Cartwright | Original | Jan 24, 2017 |
| D-PA | Michael F. Doyle | Original | Jan 24, 2017 |
| D-NY | Paul Tonko | Original | Jan 24, 2017 |
| D-VT | Peter Welch | Original | Jan 24, 2017 |
| D-WA | Pramila Jayapal | Original | Jan 24, 2017 |
| D-AZ | Raúl M. Grijalva | Original | Jan 24, 2017 |
| D-MN | Richard M. Nolan | Original | Jan 24, 2017 |
| D-PA | Robert A. Brady | Original | Jan 24, 2017 |
| D-VA | Robert C. "Bobby" Scott | Original | Jan 24, 2017 |
| D-IL | Robin L. Kelly | Original | Jan 24, 2017 |
| D-TX | Sheila Jackson Lee | Original | Jan 24, 2017 |
| D-TN | Steve Cohen | Original | Jan 24, 2017 |
| D-CA | Ted Lieu | Original | Jan 24, 2017 |
| D-OH | Tim Ryan | Original | Jan 24, 2017 |
| D-MO | Wm. Lacy Clay | Original | Jan 24, 2017 |
| D-NY | Yvette D. Clarke | Original | Jan 24, 2017 |
| D-CA | Zoe Lofgren | Original | Jan 24, 2017 |
| D-IL | Bobby L. Rush | Feb 2, 2017 | |
| D-IL | Danny K. Davis | Feb 2, 2017 | |
| D-KY | John A. Yarmuth | Feb 2, 2017 | |
| D-NY | Louise McIntosh Slaughter | Feb 2, 2017 | |
| D-IL | Luis V. Gutierrez | Feb 2, 2017 | |
| D-CA | Alan S. Lowenthal | Feb 3, 2017 | |
| D-MD | Jamie Raskin | Feb 14, 2017 | |
| D-CA | Ro Khanna | Feb 14, 2017 | |
| D-PA | Dwight Evans | Feb 28, 2017 | |
| D-CA | Jackie Speier | Feb 28, 2017 | |
| D-NC | G. K. Butterfield | Mar 8, 2017 | |
| D-MA | Michael E. Capuano | Mar 8, 2017 | |
| D-OH | Marcia L. Fudge | Mar 9, 2017 | |
| D-CA | Karen Bass | Mar 10, 2017 | |
| D-CA | Anna G. Eshoo | Mar 16, 2017 | |
| D-NY | Brian Higgins | Mar 16, 2017 | |
| D-NY | Gregory W. Meeks | Mar 16, 2017 | |
| D-OR | Suzanne Bonamici | Mar 16, 2017 | |
| D-NY | Adriano Espaillat | Mar 22, 2017 | |
| D-NY | Carolyn B. Maloney | Mar 22, 2017 | |
| D-CA | Nanette Diaz Barragán | Mar 22, 2017 | |
| D-NJ | Donald M. Payne, Jr. | Mar 28, 2017 | |
| D-NY | Nydia M. Velázquez | Mar 28, 2017 | |
| D-FL | Frederica S. Wilson | Mar 29, 2017 | |
| D-HI | Tulsi Gabbard | Mar 29, 2017 | |
| D-IN | André Carson | Apr 3, 2017 | |
| D-MD | Anthony G. Brown | Apr 3, 2017 | |
| D-NC | David E. Price | Apr 3, 2017 | |
| D-RI | David N. Cicilline | Apr 3, 2017 | |
| D-TX | Gene Green | Apr 3, 2017 | |
| D-CA | Jimmy Panetta | Apr 3, 2017 | |
| D-FL | Kathy Castor | Apr 3, 2017 | |
| D-OR | Peter A. DeFazio | Apr 3, 2017 | |
| D-CO | Diana DeGette | Apr 5, 2017 | |
| D-NV | Dina Titus | Apr 5, 2017 | |
| D-NY | Grace Meng | Apr 5, 2017 | |
| D-CA | J. Luis Correa | Apr 5, 2017 | |
| D-CA | Jerry McNerney | Apr 5, 2017 | |
| D-MD | John P. Sarbanes | Apr 5, 2017 | |
| D-IA | David Loebsack | Apr 6, 2017 | |
| D-MI | Debbie Dingell | Apr 6, 2017 | |
| D-AZ | Ruben Gallego | Apr 6, 2017 | |
| D-WA | Adam Smith | Apr 17, 2017 | |
| D-CO | Ed Perlmutter | Apr 17, 2017 | |
| D-MP | Gregorio Kilili Camacho Sablan | Apr 17, 2017 | |
| D-CO | Jared Polis | Apr 17, 2017 | |
| D-TX | Vicente Gonzalez | Apr 17, 2017 | |
| D-CA | Linda T. Sánchez | Apr 20, 2017 | |
| D-FL | Al Lawson, Jr. | Apr 25, 2017 | |
| D-PA | Brendan F. Boyle | Apr 25, 2017 | |
| D-CA | Eric Swalwell | Apr 25, 2017 | |
| D-TN | Jim Cooper | Apr 25, 2017 | |
| D-CA | Mike Thompson | Apr 25, 2017 | |
| D-FL | Darren Soto | Apr 28, 2017 | |
| D-CA | Doris O. Matsui | Apr 28, 2017 | |
| D-CA | Maxine Waters | Apr 28, 2017 | |
| D-IN | Peter J. Visclosky | Apr 28, 2017 | |
| D-NJ | Albio Sires | May 16, 2017 | |
| D-FL | Theodore E. Deutch | May 16, 2017 | |
| D-NY | Joseph Crowley | May 23, 2017 | |
| D-TX | Marc A. Veasey | May 24, 2017 | |
| D-CA | Adam B. Schiff | Jun 22, 2017 | |
| D-NY | Nita M. Lowey | Jul 12, 2017 | |
| D-GA | Sanford D. Bishop, Jr. | Jul 17, 2017 | |
| D-CA | Jimmy Gomez | Jul 28, 2017 | |
| D-CA | Brad Sherman | Aug 18, 2017 | |
| D-TX | Filemon Vela | Sep 13, 2017 | |
| D-RI | James R. Langevin | Sep 14, 2017 | |
| D-VA | Donald S. Beyer, Jr. | Sep 26, 2017 | |
| D-FL | Lois Frankel | Feb 14, 2018 | |
| D-NJ | Donald Norcross | Mar 26, 2018 | |
| D-TX | Eddie Bernice Johnson | Jul 24, 2018 | |
| D-MI | Brenda Jones | Dec 6, 2018 |
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, 2017 |
| House | Ways and Means Committee | Referred Jan 24, 2017 |
| Health Subcommittee | Referred Feb 7, 2017 | |
| House | Natural Resources Committee | Referred Jan 24, 2017 |
| Indian and Insular Affairs Subcommittee | Referred Feb 10, 2017 |
Actions 5
Everything that happened, newest first.
- Mar 7, 2018ASSUMING 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.
- Feb 10, 2017Referred to the Subcommittee on Indian, Insular and Alaska Native Affairs.
- Feb 7, 2017Referred to the Subcommittee on Health.
- Jan 24, 2017Introduced in House
- Jan 24, 2017Referred 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 5
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 H10341–H10343 | Pete Sessions R-TX | Dec 20, 2018 |
| House | Debate and remarks H7098 | Alcee L. Hastings D-FL | Jul 24, 2018 |
| House | Debate and remarks H3691, H3692–H3695 | Carolyn B. Maloney D-NY, Keith Ellison D-MN, Peter Welch D-VT, Ro Khanna D-CA | Apr 26, 2018 |
| House | Debate and remarks H1450 | Keith Ellison D-MN | Mar 7, 2018 |
| House | Debate and remarks H5105 | Jamie Raskin D-MD | Jun 22, 2017 |
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.
Constitutional authority
The sponsor’s statement, as printed in the Congressional Record, vol. 163, no. 13, January 24, 2017, page H688.
Printed hearings 1
Hearings whose printed record names this bill, newest first: hearings on it, and wider hearings where it came up.
| Number | Hearing | Committee | Held |
|---|---|---|---|
| S. Hrg. 115-377 | GRAHAM-CASSIDY-HELLER-JOHNSON PROPOSAL337 pages | Finance Committee | Sep 25, 2017 |
Related bills 1
Companion bills and other measures the record links to this one.
| Bill | Title | Relationship | Latest action |
|---|---|---|---|
| HR 676 | Expanded & Improved Medicare For All Act | Reintroduction of | Mar 16, 2015 |
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, improved health care delivery, and for other purposes.
- Short Titles as Introduced
- Expanded & Improved Medicare For All Act
Subjects
Assigned by the Library of Congress. Policy area: Health.
- Advisory bodies
- Appropriations
- Child health
- Comprehensive health care
- Department of Health and Human Services
- Employment and training programs
- Employment taxes
- Executive agency funding and structure
- Government studies and investigations
- Government trust funds
- Health
- Health care costs and insurance
- Health care coverage and access
- Health care quality
- Health information and medical records
- Health personnel
- Health programs administration and funding
- Health promotion and preventive care
- Income tax rates
- Indian social and development programs
- Long-term, rehabilitative, and terminal care
- Medical ethics
- Medicare
- Mental health
- Minority health
- Poverty and welfare assistance
- Prescription drugs
- Right of privacy
- Sales and excise taxes
- Securities
- State and local finance
- Veterans' medical care
Text 1
Each version as it was printed, newest first.
- Jan 24, 2017Introduced 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.