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Applies subsections (b) through (i) of 42 U.S.C. 1395i (provisions governing the Federal Hospital Insurance Trust Fund, including the Board of Trustees rules) to the newly created Universal Medicare Trust Fund, with defined term substitutions for application to this Trust Fund.
Directs that any amounts remaining in the Federal Supplementary Medical Insurance Trust Fund under section 1841 after the payment of claims under title XVIII have been completed shall be transferred into the Universal Medicare Trust Fund.
Adds language to subsection (b) clarifying that paragraph (3) (the exception for plans maintained solely to comply with workers' compensation laws) shall apply subject to new section 522(b) regarding reimbursement to the Medicare for All Program by workers' compensation carriers.
Adds a new subsection (c) to Section 601 stating that subsection (a) (the requirement that plan sponsors provide continuation coverage) shall apply only to group health plans that do not duplicate payments for items or services for which payment may be made under the Medicare for All Act.
Terminates the Medicare shared savings program (ACO/shared savings programs) established under 42 U.S.C. 1395jjj as part of termination of pay-for-performance/value-based purchasing Federal programs.
Terminates hospital payment/value-based purchasing authorities and related programs established under provisions of 42 U.S.C. 1395ww as part of termination of pay-for-performance/value-based purchasing Federal programs.
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.
Introduced April 29, 2025 by Pramila Jayapal · Last progress April 29, 2025
Creates a national single‑payer health system that replaces most existing federal health coverage with a universal “Medicare for All” program that guarantees medically necessary care to U.S. residents with no cost‑sharing, balance billing, or routine prior authorization. It sets benefit rules, provider participation requirements, a national budgeting and payment system (including global budgets and a national fee schedule), a new Universal Medicare Trust Fund to pay for the system, and a two‑year transition with a one‑year buy‑in option offered through the ACA Exchanges.
Requires the Department of Health and Human Services to run the program, issue enrollment rules and universal ID cards, create regional offices and ombudsman services, negotiate drug prices, collect equity and quality data, and phase out or convert many existing federal health payment programs; it also adds ERISA conforming rules to prevent duplicate payments from employer plans during implementation.