H.R.1384 / S.1129 - Medicare for All Act of 2019

Congress man and Senator Bernard "Bernie" Sanders speaking into a microphone at an event.

To establish a Medicare-for-all national health insurance program.

You might favor this bill if:
►  You believe that every person living in the United States should be granted access to healthcare with comprehensive benefits. Healthcare entities should be prevented from overcharging the costs of their services while they profit off of the illnesses and injuries of the American taxpayer.

You might oppose this bill if:
►  You believe that comprehensive health care coverage including all primary care, hospital and outpatient services should not be provided by the federal government; healthcare needs to provided by the private sector.
Introduced House Senate President Law

The Medicare for All Act of 2019 would transform the American healthcare system from one in which millions of Americans are uninsured to one that provides universal coverage for all.

The bill would establish a national health insurance program by gradually expanding Medicare – the federal health insurance program for people who are 65 or older – until it covered all Americans.

“The state of our healthcare system is absolutely atrocious,” said the Washington congresswoman Pramila Jayapal, who is introducing the bill with Michigan congresswoman Debbie Dingell.

“How is it possible that the United States, the richest country in the world, is the only major country that does not guarantee healthcare to our residents? Americans are literally dying because they can’t afford insulin or the cancer treatment they need,” she added.

“Everybody in, nobody out,” Jayapal said, describing coverage under the plan, which she said amounted to a “complete transformation of our healthcare system.”

The bill does not include exact details on how the government would pay for the new healthcare system, which some studies have estimated could cost tens of trillions of dollars over the next decade. Sen. Bernie Sanders, the main sponsor of the Senate version of the bill, has released several strategies for paying for the program, including taxing gambling in wall street and the extremely wealthy.

Sen. Sanders has also pointed out that the program will ultimately save the American taxpayer money, even if they are taxed since their health care payments would essentially disappear.

A 2018 study by the Mercatus Center, which was connected to a Koch brother's funded think tank, concluded that the overall costs of implementing the legislation will come at a price tag of $32.6 trillion over the next decade. Although the study has been used by conservatives to demonstrate how expensive the program is, the study actually revealed that the American taxpayer would actually save $2.054 trillion over the same 10 year period. These are savings outside of the individual savings the average American would save in their healthcare costs.

Rep. Jayapal and Sen. Sanders envision major savings as a result of reducing administrative costs and inefficiencies in the current healthcare system. To pay for the plan, they have suggested proposals such as taxing the rich at higher rates and mandated employer contributions.

The act improves and expands the overwhelmingly successful and popular Medicare program so that every person living in the United States has guaranteed access to healthcare with comprehensive benefits.

The legislation provides comprehensive health care coverage including all primary care, hospital and outpatient services, dental, vision, audiology, women’s reproductive health services, maternity and newborn care, long-term services and supports, prescription drugs, mental health, and substance abuse treatment, laboratory and diagnostic services, ambulatory services, and more.

Patients will have complete freedom to choose the doctors, hospitals, and other providers they wish to see, without worrying about whether a provider is “in-network”. Medicare for All would simplify the healthcare system by moving to a single-payer model. This will reduce the hundreds of billions of dollars wasted on the administration of the current inefficient multi-payer system, allowing providers to focus on patient care instead.

The legislation would prevent healthcare corporations from overcharging for the costs of their services and profiting off illness and injury, preventing providers from using payments from the program for profit, union-busting, marketing, or federal campaign contributions.

The Medicare for All program would provide global budgets to all institutional providers to help contain the exorbitant costs present in the system today and will allow the public to know where our healthcare dollars are being spent.

The United States currently pays the highest prescription drug costs in the world. This legislation would allow Medicare to negotiate drug prices, as other countries do, to substantially lower the costs of prescriptions drugs.

The legislation authorizes Medicare to issue compulsory licenses to allow generic production if a pharmaceutical company refuses to negotiate a reasonable price.

The transition to Medicare for All would occur in two years. One year after the date of enactment, persons over the age of 55 and under the age of 19 would be eligible for the program. Two years after the date of enactment, all people living in the U.S. would be eligible for the program.

This legislation preserves the ability of veterans to receive their medical benefits and services through the Veterans Administration, and of Native Americans to receive their medical benefits and services through the Indian Health Service.


Sponsored by: Rep. Jayapal, Pramila [D-WA-7].

Cosponsored by: 0 Rep / 114 Dem.

See list of cosponsors.


Sponsored by: Sen. Sanders, Bernie [I-VT].

Cosponsored by: 0 Rep / 14 Dem.

See list of cosponsors.

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