POSITIVE Healthcare 119th Congress

H.R.3069 Medicare for All Act

Medicare for All Act — replaces private insurance with a single government-run health plan covering all Americans (119th Congress)

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Legal & Constitutional Grounding

Lack of universal coverage linked to 68,000 preventable deaths annually (Lancet 2020).

Galvani et al., Lancet (2020) — universal coverage saves 68,000 lives, 13% savings

CBO — Single-Payer Design Components (2019)
Himmelstein et al., Annals (2020) — 34.2% admin costs

Who Lobbied on This Bill

$7.8M combined quarterly activity

6 lobbying firms

9 clients represented

2025-fourth_quarter–2026-second_quarter filing period

⚠ 3 lobbyists who worked this bill previously held government positions

Show all 3

ALEXANDRA FOLEY — Assistant Legislative Director
CHRISTOPHER ZATRATZ — Legislative Representative
RAJIV SICORA — Legislative Director

Policy Areas Covered

Health Issues Medicare/Medicaid

Government Entities Lobbied

Centers For Medicare and Medicaid Services (CMS)
Commerce, Dept of (DOC)
Congressional Budget Office (CBO)
Education, Dept of
Energy, Dept of
Environmental Protection Agency (EPA)
Government Accountability Office (GAO)
HOUSE OF REPRESENTATIVES
Health & Human Services, Dept of (HHS)
Health Resources & Services Administration (HRSA)
Homeland Security, Dept of (DHS)
Labor, Dept of (DOL)
Medicare Payment Advisory Commission (MedPAC)
Natl Economic Council (NEC)
Natl Highway Traffic Safety Administration (NHTSA)
Natl Institutes of Health (NIH)
Natl Labor Relations Board (NLRB)
Occupational Safety & Health Administration (OSHA)
Office of Management & Budget (OMB)
SENATE
Securities & Exchange Commission (SEC)
State, Dept of (DOS)
Transportation, Dept of (DOT)
Treasury, Dept of
U.S. International Trade Commission (ITC)
U.S. Postal Service (USPS)
U.S. Trade Representative (USTR)
White House Office

Who Hired the Lobbyists

SOCIAL SECURITY WORKS Mission to protect and improve Social Security.
CENTER FOR HEALTH AND DEMOCRACY Center for Health and Democracy works to transform Americas system of health coverage.
MOVEON.ORG CIVIC ACTION 501(c)(4) organization which focuses on nonpartisan education and advocacy on natl. issues
PUBLIC CITIZEN
UNITED AUTOMOBILE AEROSPACE & AGRICULTURAL IMPLEMENT WORKERS
PHYSICIANS FOR A NATIONAL HEALTH PROGRAM (PNHP) Advocates for universal, comprehensive single-payer national health insurance.
INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES
ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES
AMERICAN MEDICAL ASSOCIATION

Source: Senate LDA filings · Dollar figures are combined quarterly totals for all lobbying by each firm, not bill-specific spend.

Medicare for All Act — replaces private insurance with single-payer universal coverage. A single-payer system would eliminate coverage gaps for the 27 million uninsured Americans while reducing per-capita healthcare spending.