Sponsors (115)
The bill would create near‑universal, comprehensive, no‑cost national health coverage with stronger oversight and equity protections, at the cost of large new federal spending, major disruption to current coverage pathways and provider payment models, and increased administrative, legal, and implementation challenges.
All eligible Americans would gain single‑payer, comprehensive health coverage with broad service benefits (hospital, primary, mental health, reproductive and gender‑affirming care, long‑term services and supports, and transportation) with no cost‑sharing, reducing uninsured rates and out‑of‑pocket spending.
Creates a single national program and standardized enrollment/ID that simplifies billing and claims interactions, bans balance billing and duplicate private plans for covered benefits, and reduces surprise bills and fragmented insurer interactions for patients.
Establishes national quality and oversight systems (uniform standards, external quality review, ombudsman, routine reporting, GAO audits, deidentified research access, and mandated disparity data) to improve consistency of care, detect inequities, and monitor program performance.
Expanding comprehensive no cost‑sharing coverage and creating large initial appropriations/Trust Fund transfers would substantially increase federal spending and fiscal demands on taxpayers and the federal budget.
The Act would eliminate or phase out many existing coverage pathways (employer duplicates, Medicare/Medicaid/CHIP entitlements, FEHB, TRICARE for eligible people), risking significant disruption to current enrollees, employer benefits, and state funding streams during transition.
Global budgets, Medicare‑equivalent payment rates, negotiated fee schedules, and limits on supplemental payments risk reducing provider revenue flexibility, prompting some providers—especially in rural or high‑cost areas—to limit services or opt out, threatening access.
Based on analysis of 22 sections of legislative text.
Creates a national single-payer health insurance program that covers comprehensive medical, mental health, prescription, reproductive, long-term care, and other services for all U.S. residents. The Department of Health and Human Services would run enrollment, issue a Universal Medicare card, set provider rules and benefits, and fund the program through a new Universal Medicare Trust Fund and transfers of certain federal health dollars. Most benefits start two years after enactment, with limited transition options beginning one year after enactment.
Creates a national single-payer health program providing comprehensive benefits to all U.S. residents and funds it through a new Universal Medicare Trust Fund.
Introduced April 29, 2025 by Pramila Jayapal · Last progress April 29, 2025