H.R.3069

H. R. 3069

April 29, 2025

Ms. Jayapal (for herself, Mrs. Dingell, Ms. Adams, Ms. Ansari, Ms. Balint, Ms. Barragán, Mr. Bell, Mr. Beyer, Ms. Bonamici, Mr. Boyle of Pennsylvania, Ms. Brown, Mr. Carbajal, Mr. Carson, Mr. Carter of Louisiana, Mr. Casar, Mrs. Cherfilus-McCormick, Ms. Chu, Ms. Clarke of New York, Mr. Cleaver, Mr. Cohen, Ms. Crockett, Mr. Davis of Illinois, Ms. DeGette, Mr. Deluzio, Mr. DeSaulnier, Ms. Dexter, Mr. Doggett, Ms. Escobar, Mr. Espaillat, Mrs. Foushee, Ms. Lois Frankel of Florida, Ms. Friedman, Mr. Frost, Mr. Garamendi, Mr. Garcia of California, Mr. García of Illinois, Mr. Goldman of New York, Mr. Gomez, Mr. Green of Texas, Mrs. Hayes, Ms. Hoyle of Oregon, Mr. Huffman, Mr. Jackson of Illinois, Ms. Jacobs, Mr. Johnson of Georgia, Ms. Kamlager-Dove, Mr. Keating, Ms. Kelly of Illinois, Mr. Kennedy of New York, Mr. Khanna, Ms. Lee of Pennsylvania, Ms. Leger Fernandez, Mr. Levin, Mr. Lieu, Ms. Lofgren, Ms. McCollum, Mr. McGarvey, Mr. McGovern, Mrs. McIver, Mr. Meeks, Ms. Meng, Mr. Mfume, Mr. Min, Mr. Mullin, Mr. Nadler, Mr. Neguse, Ms. Norton, Ms. Ocasio-Cortez, Ms. Omar, Mr. Pallone, Mr. Panetta, Ms. Pingree, Mr. Pocan, Ms. Pressley, Mr. Quigley, Mrs. Ramirez, Ms. Randall, Mr. Raskin, Ms. Rivas, Ms. Salinas, Ms. Sánchez, Ms. Schakowsky, Mr. Scott of Virginia, Mr. Sherman, Ms. Simon, Mr. Smith of Washington, Ms. Stansbury, Mr. Swalwell, Mr. Takano, Mr. Thanedar, Mr. Thompson of Mississippi, Mr. Thompson of California, Ms. Titus, Ms. Tlaib, Ms. Tokuda, Mr. Tonko, Mrs. Trahan, Mr. Vargas, Ms. Velázquez, Ms. Waters, Mrs. Watson Coleman, Ms. Williams of Georgia, Ms. Wilson of Florida, Mr. Harder of California, Mr. Ivey, and Mr. Torres of New York) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Workforce, Rules, Oversight and Government Reform, Armed Services, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

A BILL

To establish an improved Medicare-for-All national health insurance program.

1. Short title; table of contents; TITLE I—ESTABLISHMENT OF THE MEDICARE FOR ALL PROGRAM; UNIVERSAL COVERAGE; ENROLLMENT; 101. Establishment of the Medicare for All Program; 102. Universal coverage; 103. Freedom of choice; 104. Non-discrimination; 105. Enrollment; 106. Effective date of benefits; 107. Prohibition against duplicating coverage; TITLE II—COMPREHENSIVE BENEFITS, INCLUDING PREVENTIVE BENEFITS AND BENEFITS FOR LONG-TERM CARE; 201. Comprehensive benefits; 202. No cost-sharing; other limitations; 203. Exclusions and limitations; 204. Coverage of long-term care services; TITLE III—PROVIDER PARTICIPATION; 301. Provider participation and standards; whistleblower protections; 302. Qualifications for providers; 303. Use of private contracts; TITLE IV—ADMINISTRATION; 401. Administration; 402. Consultation; 403. Regional administration; 404. Beneficiary ombudsman; 405. Conduct of related health programs; 411. Application of Federal sanctions to all fraud and abuse under the Medicare for All Program; TITLE V—QUALITY ASSESSMENT; 501. Quality standards; 502. Addressing health care disparities; TITLE VI—HEALTH BUDGET; PAYMENTS; COST CONTAINMENT MEASURES; 601. National health budget; 611. Payments to institutional providers based on global budgets; 612. Payment to individual providers through fee-for-service; 613. Ensuring accurate valuation of services under the Medicare physician fee schedule; 614. Payment prohibitions; capital expenditures; special projects; 615. Office of Health Equity; 616. Office of Primary Care; 617. Payments for prescription drugs and approved devices and equipment; TITLE VII—UNIVERSAL MEDICARE TRUST FUND; 701. Universal Medicare Trust Fund; TITLE VIII—CONFORMING AMENDMENTS TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974; 801. Prohibition of employee benefits duplicative of benefits under the Medicare for All Program; coordination in case of workers’ compensation; 802. Application of continuation coverage requirements under ERISA and certain other requirements relating to group health plans; 803. Effective date of title; TITLE IX—ADDITIONAL CONFORMING AMENDMENTS; 901. Relationship to existing Federal health programs; 902. Sunset of provisions related to the State Exchanges; 903. Sunset of provisions related to pay for performance programs; TITLE X—TRANSITION; 1001. Medicare for all transition over two years; 1002. Establishment of the Medicare transition buy-in; 1011. Eliminating the 24-month waiting period for Medicare coverage for individuals with disabilities; 1012. Ensuring continuity of care; TITLE XI—MISCELLANEOUS; 1101. Definitions; 1102. Rules of construction; 1103. No use of resources for law enforcement of certain registration requirements