Single Payer Legislation
We will only achieve national, single-payer reform through legislation, and that means building legislative leadership and support as well as growing the grassroots movement. Visit our Legislative Advocacy Guide to use the most effective tactics for getting your legislators to support the legislation below.
The Expanded & Improved Medicare For All Act, H.R. 676 (click for details)
Introduced by Representative John Conyers, the Expanded & Improved Medicare For All Act establishes a unique American national universal health insurance program. The bill would create a publicly financed, privately delivered healthcare system that uses the already existing Medicare program by expanding and improving it to all U.S. residents, and all residents living in U.S. territories. The goal of the legislation is to ensure that everyone will have access, guaranteed by law, to the highest quality and most cost effective healthcare services regardless of their employment, income, or healthcare status.
The American Health Security Act, S. 1782 (click for details)
The American Health Security Act of 2013 (S. 1782) provides every American with affordable and comprehensive health care services through the establishment of a national American Health Security Program (the Program) that requires each participating state to set up and administer a state single payer health program. The Program provides universal health care coverage for the comprehensive services required under S. 1782 and incorporates Medicare, Medicaid, the Children’s Health Insurance Program, the Federal Employees Health Benefits Program and TRICARE (the Department of Defense health care program), but maintains health care programs under the Veterans Affairs Administration. Private health insurance sold by for-profit companies could only exist to provide supplemental coverage.
The cornerstones of the Program will be fixed, annual, and global budgets, public accountability, measures of quality based on outcomes data designed by providers and patients, a national data-collection system with uniform reporting by all providers, and a progressive financing system. It will provide universal coverage, benefits emphasizing primary and preventive care, and free choice of providers. Inpatient services, long term care, a broad range of services for mental illness and substance abuse, and care coordination services will also be covered.
State Single-Payer Legislation (click for a listing)
State-level single-payer legislation has been introduced in 26 states at one time or another, and many state campaigns are currently very active, such as in New York, Massachusetts, Pennsylvania, California, Minnesota, Oregon and elsewhere. Vermont has introduced and passed legislation that instructs the state to develop a complete single-payer implementation plan and put it into effect after receiving necessary federal waivers. Activists in Colorado are pursuing a statewide single-payer ballot initiative to bypass the legislative process. Contact Healthcare-NOW! if you would like to be put in touch with state single-payer efforts in your area.