Introduced by Rep. John Dingell to the 85th-111th Congresses (1957-2010), under many bill numbers. No companion legislation is filed in the Senate.
Index of Information on the National Health Insurance Act
- Details of the National Health Insurance Act
- Link to Public Hearings on the Health Security Act
- Contemporary Analyses of the National Health Insurance Act
- Information on the National Health Insurance Act
Details of the National Health Insurance Act
The National Health Insurance Act would provide publicly financed healthcare for all workers, social security beneficiaries, and their dependents. The remaining uninsured could be covered by states if they fund it. Medicare would be preserved, but additional benefits provided by the program would wrap around Medicare's benefits.
The plan would cover fairly comprehensive benefits including dental, vision, and home-nursing care.
States could choose to administer the program by submitting an implementation plan that requires national approval - states without an approved plan would have their benefits administered by the federal government.
Physicians could be paid on a fee-for-service, per capita, or salaried basis. Hospitals and institutions would be paid on a "reasonable cost" basis similar to Medicare (but not under global budgets).
The program would be financed through a national Value Added Tax of 5%, with select services and goods being exempt from the tax, and credits for low-income people. A national budget would then allocate funds to each state on an equitable basis.
Public Hearings on the National Health Insurance Act
In 1971 prominent public hearings were held by several Congressional committees on national health reform. The primary legislative vehicle for these hearings was the Health Security Act, sponsored by Senator Kennedy in the Senate and Reps. Griffiths and Corman in the House. However, Rep. Dingell's National Health Insurance Act, which was based on the state-administered model of the old National Health Act filed by his father, was also discussed. These hearings were held by the Senate's Subcommittee on Health of the Committee on Labor and Public Welfare, which was chaired by Senator Kennedy, on the "Health Care Crisis in America" - the hearings were held over 23 days at locations across the country. Extensive hearings were also held by the House Committee on Ways and Means on "National Health Insurance Proposals" in October and November, and by the Senate Committee on Finance on "National Health Insurance" in April 1971.
Contemporary Analyses of the National Health Insurance Act
On September 25, 1970, staff of the House Committee on Ways and Means published a "Brief Comparison of Major Health Care Financing Bills Introduced in the 91st Congress," which compares the National Health Insurance Act (H.R. 24) with three other healthcare reform proposals:
In August 1971, the U.S. Department of Health, Education, and Welfare published an economic analysis of thirteen different healthcare reform proposals introduced to the 92nd Congress, including the National Health Insurance Act (H.R. 48). The HEW estimated that H.R. 48 would increase total healthcare spending in 1974 from $105.4 billion to $116.8 billion, although the estimate appears not to include any projected savings from the legislation:
Information on the National Health Insurance Act
Read the full bill from the 100th Congress (1987-1988).
Read the summary of H.R. 1791 from the 100th Congress (1987-1988).
See the list of 0 Congressional cosponsors for the 100th Congress (1987-1988).
Prior to 1973, the National Health Insurance Act was submitted under the following bill numbers:
- 1971 (92nd Congress): H.R. 48
- 1969 (91st Congress): H.R. 24
- 1967 (90th Congress): H.R. 12741
- 1965 (89th Congress): H.R. 5438
- 1963 (88th Congress): H.R. 7829
- 1961 (87th Congress): H.R. 4413
- 1959 (86th Congress): H.R. 4498
- 1957 (85th Congress): H.R. 3764