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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.

History of National Single-Payer Legislation

The Healthcare-NOW Education Fund has posted a range of resources on the history of single-payer healthcare, including a timeline of national single-payer legislation from the 1930s through the present, a graph of growing sponsorship levels of single-payer legislation since the 1970s, a sortable listing of single-payer bills, and documentation of public hearings on single-payer legislation during the 1940s and 1970s.

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 Medicare-for-All Act of 2017, S. 1804 (click for details)

Introduced by Senator Bernie Sanders. 52 years ago, the United States took an important step towards universal health care by passing the Medicare program into law. Guaranteeing comprehensive health benefits for Americans over 65 has proven to be enormously successful and popular. Now is the time to expand and improve Medicare to guarantee health care to every man, woman and child in the country.

This bill establishes a federally administered Medicare-for-all national health insurance program that will be implemented over a four year period.

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. Contact Healthcare-NOW! if you would like to be put in touch with state single-payer efforts in your area.