Sponsors (18)
Introduced April 29, 2025 by Bernard Sanders · Last progress April 29, 2025
The bill would extend broad, largely no‑cost comprehensive health coverage and strengthened equity and quality measures to virtually all residents—calming medical cost risk for many—but at the cost of major federal spending increases, sizable disruption to existing public and private coverage arrangements, substantial implementation complexity, and potential provider and privacy strains.
All U.S. residents (enrollees) would gain a single national, comprehensive health coverage program that consolidates hospital, primary, mental health, reproductive, long‑term, pediatric, and other benefits with minimal cost‑sharing for covered services.
People with low and moderate incomes (including many seniors) would receive stronger financial protection—caps or reduced out‑of‑pocket drug costs, limits on annual coinsurance/copays, and elimination of some deductibles—reducing catastrophic medical spending.
The bill expands benefit scope (e.g., reproductive and gender‑affirming care, dental/vision/hearing, telehealth, and preserved long‑term institutional care), increasing access to a wider range of services for many groups.
Taxpayers and middle‑class families would likely face substantially higher federal spending and possibly higher taxes or reallocation of government budgets to pay for the expanded national program and new benefits.
Millions could see disruption or loss of existing coverage/options—traditional Medicare/Medicaid/CHIP entitlements, ACA Marketplace tax credits, FEHB enrollment, private supplemental plans, and ERISA/COBRA continuity—forcing rapid changes in who pays and how care is accessed.
Providers face financial and operational risks from negotiated fee schedules, lump‑sum/global payments, restrictions on private revenue streams, and potential underpayment versus current private rates, which could lead to access problems if providers reduce participation.
Based on analysis of 22 sections of legislative text.
Creates a nationwide single-payer-style program providing comprehensive coverage to all residents, replaces many federal programs for covered services, and funds care via a new Trust Fund and national budget.
Establishes a nationwide, government-run health insurance program that provides comprehensive coverage to all U.S. residents, with automatic enrollment at birth or on establishing residency, broad protections against discrimination, and a uniform benefits package covering hospital care, primary care, prescription drugs, mental health and substance use treatment, reproductive care (including abortion), long-term services and supports, dental, vision, and more. The law phases in benefits on a set timeline, replaces many existing Federal health programs for covered items and services, creates a new dedicated Trust Fund to receive revenues and rolled-in federal health spending, sets a national health budget and provider payment rules, changes ERISA and other laws to prevent duplicative private coverage, limits some patient cost-sharing, and imposes new provider participation, quality, reporting, and state maintenance-of-effort rules.