Sponsors (115)
Introduced April 29, 2025 by Pramila Jayapal · Last progress April 29, 2025
The bill would deliver near‑universal, no‑cost comprehensive health coverage and stronger equity and quality safeguards for many Americans, but does so at very large federal cost and with major disruption, provider payment risks, privacy and administrative burdens, and implementation challenges.
Uninsured and underinsured Americans gain universal, no‑cost comprehensive coverage (hospital, primary, specialty, prescription, mental health, reproductive and gender‑affirming care, and telehealth) with automatic enrollment and freedom to choose qualified providers.
Households face far lower out‑of‑pocket costs due to eliminated cost‑sharing and balance‑billing, combined with negotiated drug prices and a dedicated Trust Fund to direct new revenue to health benefits.
Expanded access to behavioral health, long‑term services and supports (prioritizing home‑ and community‑based care), targeted rural/underserved funding and telehealth expands care options for older adults, people with disabilities, and rural communities.
All U.S. taxpayers face large new federal costs (higher spending, possible tax increases or reallocation of priorities) to fund universal benefits and new administrative structures.
Millions could experience coverage disruption or shifting benefit sources as existing programs (Medicare, FEHBP, TRICARE, Medicaid/CHIP federal payments, and ACA Exchanges) are sunset, phased out, or absorbed over transition periods.
Providers — particularly rural and safety‑net hospitals — may face reduced revenues or payment uncertainty from Medicare‑level fee schedules, global lump‑sum payments, and standardized comparative rates, risking narrower networks and access problems.
Based on analysis of 22 sections of legislative text.
Creates a national single-payer Medicare for All program covering every U.S. resident, with comprehensive benefits, provider rules, a new Trust Fund, and major transition of federal and employer programs.
Creates a national single-payer health program that provides comprehensive, government-administered health coverage to every U.S. resident. It requires automatic enrollment, issues universal ID cards, guarantees access to any qualified participating provider, bans most duplicative private or employer coverage after the general effective date, and funds the program through a new Universal Medicare Trust Fund plus transfers from existing federal health program spending and other specified revenue flows. Sets a broad statutory benefits package (hospital, primary care, prescription drugs, mental health and substance use disorder treatment, comprehensive reproductive and gender-affirming care, long-term services and supports, and more), establishes provider participation and reporting rules, creates a national health budget and regional implementation offices, phases in coverage (with earlier access for children and people age 55+), and transitions or terminates many existing federal and employer-based programs while preserving VA, IHS, and certain school and tribal services.