Sponsors (115)
Official title: To establish an improved Medicare-for-All national health insurance program.
Introduced April 29, 2025 by Pramila Jayapal · Last progress April 29, 2025
The bill trades a single, comprehensive, no‑cost national health program with stronger equity, coverage, and oversight for substantially higher federal spending, major disruption to existing employer/state insurance arrangements, and significant implementation, provider financial, and administrative risks—especially in rural and high‑cost areas.
All U.S. residents eligible under the Act would gain guaranteed, comprehensive coverage (hospital, primary, mental health, maternity/reproductive including abortion and ART, gender-affirming care, LTSS, and transportation) with no cost‑sharing, reducing uninsured rates and out‑of‑pocket medical costs for almost everyone.
Prohibits balance billing and eliminates patient cost‑sharing for covered benefits, protecting people from surprise bills and large out‑of‑pocket charges.
People with disabilities get faster access to benefits (including removal of the 24‑month waiting period) and the law expands home- and community‑based services and transportation supports, improving access to needed care and reducing institutionalization.
The program would substantially increase federal spending and require large initial appropriations and ongoing budget commitments, likely increasing fiscal pressure on taxpayers and potentially necessitating higher taxes or reallocation of other federal funds.
Private duplicate coverage would be barred and many existing employer‑sponsored options (and some federal plans like FEHB/TRICARE) would be eliminated for eligible people, disrupting employer benefits, reducing supplemental coverage options, and affecting workers and employers across the country.
Sunsetting Medicare/Medicaid/CHIP payment pathways and ACA Exchanges and transferring beneficiaries into a new federal program risks administrative disruption, temporary coverage or payment gaps for patients and revenue shortfalls for states and providers during the transition.
Based on analysis of 22 sections of legislative text.
Establishes a national Medicare‑for‑All single‑payer program providing comprehensive benefits to all U.S. residents and replaces many federal coverage programs.
Creates a nationwide single-payer “Medicare for All” system that provides comprehensive health care benefits to all U.S. residents and replaces most existing federal health coverage programs. The Department of Health and Human Services would administer eligibility, enrollment, provider participation, a uniform benefits package (including reproductive, mental-health, and long‑term care), a national budgeting process, and a Universal Medicare Trust Fund; benefits generally begin two years after enactment with limited transitional rules starting one year after enactment.