United States · Bill · HR
H.R. 676 (109th)
Expanded and Improved Medicare for All Act
Introduced
8 February 2005
Last action
2 May 2006 · Introduced
Status
Sponsor introductory remarks on measure. (CR E685-686)
Sponsors
JOHN CONYERS, Rep. Kucinich, Dennis J. [D-OH-10], Rep. McDermott, Jim [D-WA-7], Del. Christensen, Donna M. [D-VI-At Large], Rep. Rangel, Charles B. [D-NY-19], Rep. Filner, Bob [D-CA-51], Rep. Olver, John W. [D-MA-1], Rep. Wynn, Albert Russell [D-MD-4], Rep. Stark, Fortney Pete [D-CA-9], Rep. Farr, Sam [D-CA-20], Barbara Lee, Rep. Watson, Diane E. [D-CA-33], ELIJAH CUMMINGS, Rep. Hinchey, Maurice D. [D-NY-22], Rep. Abercrombie, Neil [D-HI-1], Rep. Miller, George [D-CA-7], Rep. Woolsey, Lynn C. [D-CA-6], Rep. Owens, Major R. [D-NY-12], WM. CLAY, James McGovern, Rep. Payne, Donald M. [D-NJ-10], Sen. Baldwin, Tammy [D-WI], JOSE SERRANO, Rep. Fattah, Chaka [D-PA-2], Rep. Pastor, Ed [D-AZ-7], LUIS GUTIERREZ, Rep. Frank, Barney [D-MA-4], Sheila Jackson Lee, Rep. Waxman, Henry A. [D-CA-24], Bennie Thompson, Raúl Grijalva, Rep. Jackson, Jesse L., Jr. [D-IL-2], Rep. Scott, Robert C. "Bobby" [D-VA-3], Rep. Weiner, Anthony D. [D-NY-9], Rep. Nadler, Jerrold [D-NY-12], JOHN LEWIS, Rep. Davis, Danny K. [D-IL-7], Rep. Kilpatrick, Carolyn C. [D-MI-13], CAROLYN MALONEY, Rep. Towns, Edolphus [D-NY-11], Sen. Udall, Tom [D-NM], Rep. Carson, Julia [D-IN-7], Rep. Evans, Lane [D-IL-17], Rep. Lantos, Tom [D-CA-11], Sen. Sanders, Bernard [I-VT], ELIOT ENGEL, ALCEE HASTINGS, Rep. Tierney, John F. [D-MA-6]
Subjects
Healthcare, Taxation
Source updated
15 August 2025
Summary
United States National Health Insurance Act (or the Expanded and Improved Medicare for All Act) - Establishes the United States National Health Insurance Program (the Program) to provide all individuals residing in the United States and in U.S. territories with free health care that includes all medically necessary care, such as primary care and prevention, prescription drugs, emergency care, and mental health services. Prohibits an institution from participating in the Program unless it is a public or nonprofit institution. Allows nonprofit health maintenance organizations (HMOs) that actually deliver care in their own facilities to participate in the Program. Gives patients the freedom to choose from participating physicians and institutions. Prohibits a private health insurer from selling health insurance coverage that duplicates the benefits provided under this Act. Allows such insurers to sell benefits that are not medically necessary, such as cosmetic surgery benefits. Sets forth methods to pay hospitals and health professionals for services. Prohibits financial incentives between HMOs and physicians based on utilization. Authorizes appropriations and provides for appropriated sums to be paid for: (1) by vastly reducing paperwork; (2) by requiring a rational bulk procurement of medications; (3) from existing sources of Government revenues for health care; (4) by increasing personal income taxes on the top five percent income earners; (5) by instituting a modest payroll tax; and (6) by instituting a small tax on stock and bond transactions. Requires the Program to give first priority in retraining and job placement to individuals whose jobs are eliminated due to reduced administration. Establishes a National Board of Universal Quality and Access to advise the Secretary and the Director to ensure quality, access, and affordability. Provides for the eventual integration of the health programs of the Department of Veterans' Affairs and the Indian Health Service into the Program.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
8 February 2005
Introduced
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Resources, and Veterans' Affairs, 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.
Source: IntroReferral
8 February 2005
Introduced
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Resources, and Veterans' Affairs, 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.
Source: IntroReferral
8 February 2005
Introduced
Introduced in House
Source: IntroReferral
8 February 2005
Introduced
Introduced in House
Source: IntroReferral
17 February 2005
Referred
Referred to the Subcommittee on Health.
Source: Committee
25 February 2005
Referred
Referred to the Subcommittee on Health.
Source: Committee
4 April 2005
Referred
Referred to the Subcommittee on Health.
Source: Committee
2 May 2006
Introduced
Sponsor introductory remarks on measure. (CR E685-686)
Source: IntroReferral
Votes
No vote records are attached yet.
Versions
- Introduced in House · 8 February 2005 · Official file
Documents
3 official files
Introduced in House (text)
Introduced in House (text)
Introduced in House · EN · 8 February 2005
Introduced in House (PDF)
Introduced in House · EN · 8 February 2005
Introduced in House
summary · EN · 8 February 2005
Sponsors
- JOHN CONYERS · D · Sponsor
- Rep. Kucinich, Dennis J. [D-OH-10] · D · Sponsor
- Rep. McDermott, Jim [D-WA-7] · D · Sponsor
- Del. Christensen, Donna M. [D-VI-At Large] · D · Sponsor
- Rep. Rangel, Charles B. [D-NY-19] · D · Cosponsor
- Rep. Filner, Bob [D-CA-51] · D · Cosponsor
- Rep. Olver, John W. [D-MA-1] · D · Cosponsor
- Rep. Wynn, Albert Russell [D-MD-4] · D · Cosponsor
- Rep. Stark, Fortney Pete [D-CA-9] · D · Cosponsor
- Rep. Farr, Sam [D-CA-20] · D · Cosponsor
- Barbara Lee · D · Cosponsor
- Rep. Watson, Diane E. [D-CA-33] · D · Cosponsor
- ELIJAH CUMMINGS · D · Cosponsor
- Rep. Hinchey, Maurice D. [D-NY-22] · D · Cosponsor
- Rep. Abercrombie, Neil [D-HI-1] · D · Cosponsor
- Rep. Miller, George [D-CA-7] · D · Cosponsor
- Rep. Woolsey, Lynn C. [D-CA-6] · D · Cosponsor
- Rep. Owens, Major R. [D-NY-12] · D · Cosponsor
- WM. CLAY · D · Cosponsor
- James McGovern · D · Cosponsor
- Rep. Payne, Donald M. [D-NJ-10] · D · Cosponsor
- Sen. Baldwin, Tammy [D-WI] · D · Cosponsor
- JOSE SERRANO · D · Cosponsor
- Rep. Fattah, Chaka [D-PA-2] · D · Cosponsor
- Rep. Pastor, Ed [D-AZ-7] · D · Cosponsor
- LUIS GUTIERREZ · D · Cosponsor
- Rep. Frank, Barney [D-MA-4] · D · Cosponsor
- Sheila Jackson Lee · D · Cosponsor
- Rep. Waxman, Henry A. [D-CA-24] · D · Cosponsor
- Bennie Thompson · D · Cosponsor
- Raúl Grijalva · D · Cosponsor
- Rep. Jackson, Jesse L., Jr. [D-IL-2] · D · Cosponsor
- Rep. Scott, Robert C. "Bobby" [D-VA-3] · D · Cosponsor
- Rep. Weiner, Anthony D. [D-NY-9] · D · Cosponsor
- Rep. Nadler, Jerrold [D-NY-12] · D · Cosponsor
- JOHN LEWIS · D · Cosponsor
- Rep. Davis, Danny K. [D-IL-7] · D · Cosponsor
- Rep. Kilpatrick, Carolyn C. [D-MI-13] · D · Cosponsor
- CAROLYN MALONEY · D · Cosponsor
- Rep. Towns, Edolphus [D-NY-11] · D · Cosponsor
- Sen. Udall, Tom [D-NM] · D · Cosponsor
- Rep. Carson, Julia [D-IN-7] · D · Cosponsor
- Rep. Evans, Lane [D-IL-17] · D · Cosponsor
- Rep. Lantos, Tom [D-CA-11] · D · Cosponsor
- Sen. Sanders, Bernard [I-VT] · I · Cosponsor
- ELIOT ENGEL · D · Cosponsor
- ALCEE HASTINGS · D · Cosponsor
- Rep. Tierney, John F. [D-MA-6] · D · Cosponsor
Showing 48 of 83 sponsors and actors.
Related records
No cross-record relationships stored yet.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/109th-congress/house-bill/676
- Open data entity: https://api.congress.gov/v3/bill/109/hr/676
- us · 109-hr-676 · source updated 15 August 2025