H.R. 3421: Medicare for All Act


Quick Facts:

Bill Sponsor: Rep. Pramila Jayapal (D-WA-7)

Congress: 118

Date Introduced: May 17, 2023

Last Action: Referred to the Subcommittee on Health. (May 19, 2023)

View on Congress.gov

Medicare for All Act

This bill establishes a national health insurance program that is administered by the Department of Health and Human Services (HHS).

Among other requirements, the program must (1) cover all U.S. residents; (2) provide for automatic enrollment of individuals upon birth or residency in the United States; and (3) cover items and services that are medically necessary or appropriate to maintain health or to diagnose, treat, or rehabilitate a health condition, including hospital services, prescription drugs, mental health and substance abuse treatment, dental and vision services, long-term care, gender affirming care, and reproductive care, including contraception and abortions.

The bill prohibits cost-sharing (e.g., deductibles, coinsurance, and copayments) and other charges for covered services. Additionally, private health insurers and employers may only offer coverage that is supplemental to, and not duplicative of, benefits provided under the program.

Health insurance exchanges and specified federal health programs terminate upon program implementation. However, the program does not affect coverage provided through the Department of Veterans Affairs or the Indian Health Service.

The bill also establishes a series of implementing provisions relating to (1) health care provider participation; (2) HHS administration; and (3) payments and costs, including the requirement that HHS negotiate prices for prescription drugs.

Individuals who are age 18 or younger, age 55 or older, or already enrolled in Medicare may enroll in the program starting one year after enactment of this bill; other individuals may buy into the program at this time. The program must be fully implemented two years after enactment.

Rep. Debbie Dingell (D-MI-6) (May 17, 2023)

Rep. Alma Adams (D-NC-12) (May 17, 2023)

Rep. Becca Balint (D-VT-At-Large) (May 17, 2023)

Rep. Nanette Barragán (D-CA-44) (May 17, 2023)

Rep. Don Beyer (D-VA-8) (May 17, 2023)

Rep. Earl Blumenauer (D-OR-3) (May 17, 2023)

Rep. Suzanne Bonamici (D-OR-1) (May 17, 2023)

Rep. Jamaal Bowman (D-NY-16) (May 17, 2023)

Rep. Brendan Boyle (D-PA-2) (May 17, 2023)

Rep. Shontel Brown (D-OH-11) (May 17, 2023)

Rep. Cori Bush (D-MO-1) (May 17, 2023)

Rep. Salud Carbajal (D-CA-24) (May 17, 2023)

Rep. Tony Cárdenas (D-CA-29) (May 17, 2023)

Rep. André Carson (D-IN-7) (May 17, 2023)

Rep. Troy Carter (D-LA-2) (May 17, 2023)

Rep. Matt Cartwright (D-PA-8) (May 17, 2023)

Rep. Greg Casar (D-TX-35) (May 17, 2023)

Rep. Sheila Cherfilus-McCormick (D-FL-20) (May 17, 2023)

Rep. Judy Chu (D-CA-28) (May 17, 2023)

Rep. David Cicilline (D-RI-1) (May 17, 2023)

Rep. Yvette Clarke (D-NY-9) (May 17, 2023)

Rep. Emanuel Cleaver (D-MO-5) (May 17, 2023)

Rep. Steve Cohen (D-TN-9) (May 17, 2023)

Rep. Jasmine Crockett (D-TX-30) (May 17, 2023)

Rep. Danny Davis (D-IL-7) (May 17, 2023)

Rep. Diana DeGette (D-CO-1) (May 17, 2023)

Rep. Chris Deluzio (D-PA-17) (May 17, 2023)

Rep. Mark DeSaulnier (D-CA-10) (May 17, 2023)

Rep. Lloyd Doggett (D-TX-37) (May 17, 2023)

Rep. Veronica Escobar (D-TX-16) (May 17, 2023)

Rep. Adriano Espaillat (D-NY-13) (May 17, 2023)

Rep. Valerie Foushee (D-NC-4) (May 17, 2023)

Rep. Lois Frankel (D-FL-22) (May 17, 2023)

Rep. Maxwell Frost (D-FL-10) (May 17, 2023)

Rep. John Garamendi (D-CA-8) (May 17, 2023)

Rep. Robert Garcia (D-CA-42) (May 17, 2023)

Rep. Chuy García (D-IL-4) (May 17, 2023)

Rep. Dan Goldman (D-NY-10) (May 17, 2023)

Rep. Jimmy Gomez (D-CA-34) (May 17, 2023)

Rep. Al Green (D-TX-9) (May 17, 2023)

Rep. Raúl Grijalva (D-AZ-7) (May 17, 2023)

Rep. Josh Harder (D-CA-9) (May 17, 2023)

Rep. Jahana Hayes (D-CT-5) (May 17, 2023)

Rep. Brian Higgins (D-NY-26) (May 17, 2023)

Rep. Val Hoyle (D-OR-4) (May 17, 2023)

Rep. Jared Huffman (D-CA-2) (May 17, 2023)

Rep. Glenn Ivey (D-MD-4) (May 17, 2023)

Rep. Jonathan Jackson (D-IL-1) (May 17, 2023)

Rep. Sheila Jackson Lee (D-TX-18) (May 17, 2023)

Rep. Sara Jacobs (D-CA-51) (May 17, 2023)

Rep. Hank Johnson (D-GA-4) (May 17, 2023)

Rep. Sydney Kamlager-Dove (D-CA-37) (May 17, 2023)

Rep. Bill Keating (D-MA-9) (May 17, 2023)

Rep. Robin Kelly (D-IL-2) (May 17, 2023)

Rep. Ro Khanna (D-CA-17) (May 17, 2023)

Rep. Barbara Lee (D-CA-12) (May 17, 2023)

Rep. Summer Lee (D-PA-12) (May 17, 2023)

Rep. Teresa Leger Fernandez (D-NM-3) (May 17, 2023)

Rep. Mike Levin (D-CA-49) (May 17, 2023)

Rep. Ted Lieu (D-CA-36) (May 17, 2023)

Rep. Betty McCollum (D-MN-4) (May 17, 2023)

Rep. Morgan McGarvey (D-KY-3) (May 17, 2023)

Rep. Jim McGovern (D-MA-2) (May 17, 2023)

Rep. Gregory Meeks (D-NY-5) (May 17, 2023)

Rep. Grace Meng (D-NY-6) (May 17, 2023)

Rep. Kweisi Mfume (D-MD-7) (May 17, 2023)

Rep. Kevin Mullin (D-CA-15) (May 17, 2023)

Rep. Jerry Nadler (D-NY-12) (May 17, 2023)

Rep. Grace Napolitano (D-CA-31) (May 17, 2023)

Rep. Joe Neguse (D-CO-2) (May 17, 2023)

Del. Eleanor Norton (D-DC-At-Large) (May 17, 2023)

Rep. Alexandria Ocasio-Cortez (D-NY-14) (May 17, 2023)

Rep. Ilhan Omar (D-MN-5) (May 17, 2023)

Rep. Frank Pallone (D-NJ-6) (May 17, 2023)

Rep. Jimmy Panetta (D-CA-19) (May 17, 2023)

Rep. Donald Payne Jr. (D-NJ-10) (May 17, 2023)

Rep. Chellie Pingree (D-ME-1) (May 17, 2023)

Rep. Mark Pocan (D-WI-2) (May 17, 2023)

Rep. Katie Porter (D-CA-47) (May 17, 2023)

Rep. Ayanna Pressley (D-MA-7) (May 17, 2023)

Rep. Mike Quigley (D-IL-5) (May 17, 2023)

Rep. Delia Ramirez (D-IL-3) (May 17, 2023)

Rep. Jamie Raskin (D-MD-8) (May 17, 2023)

Del. Gregorio Sablan (D-MP-At-Large) (May 17, 2023)

Rep. Andrea Salinas (D-OR-6) (May 17, 2023)

Rep. Linda Sánchez (D-CA-38) (May 17, 2023)

Rep. John Sarbanes (D-MD-3) (May 17, 2023)

Rep. Jan Schakowsky (D-IL-9) (May 17, 2023)

Rep. Adam Schiff (D-CA-30) (May 17, 2023)

Rep. Bobby Scott (D-VA-3) (May 17, 2023)

Rep. Brad Sherman (D-CA-32) (May 17, 2023)

Rep. Adam Smith (D-WA-9) (May 17, 2023)

Rep. Melanie Stansbury (D-NM-1) (May 17, 2023)

Rep. Eric Swalwell (D-CA-14) (May 17, 2023)

Rep. Mark Takano (D-CA-39) (May 17, 2023)

Rep. Shri Thanedar (D-MI-13) (May 17, 2023)

Rep. Mike Thompson (D-CA-4) (May 17, 2023)

Rep. Bennie Thompson (D-MS-2) (May 17, 2023)

Rep. Dina Titus (D-NV-1) (May 17, 2023)

Rep. Rashida Tlaib (D-MI-12) (May 17, 2023)

Rep. Jill Tokuda (D-HI-2) (May 17, 2023)

Rep. Paul Tonko (D-NY-20) (May 17, 2023)

Rep. Ritchie Torres (D-NY-15) (May 17, 2023)

Rep. Lori Trahan (D-MA-3) (May 17, 2023)

Rep. Juan Vargas (D-CA-52) (May 17, 2023)

Rep. Nydia Velázquez (D-NY-7) (May 17, 2023)

Rep. Maxine Waters (D-CA-43) (May 17, 2023)

Rep. Bonnie Watson Coleman (D-NJ-12) (May 17, 2023)

Rep. Susan Wild (D-PA-7) (May 17, 2023)

Rep. Nikema Williams (D-GA-5) (May 17, 2023)

Rep. Frederica Wilson (D-FL-24) (May 17, 2023)

Rep. Zoe Lofgren (D-CA-18) (May 17, 2023)

Rep. Dean Phillips (D-MN-3) (Feb. 5, 2024)

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