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POSITIVE Healthcare 118th Congress

H.R.3421 Medicare for All Act of 2023

Medicare for All Act — replaces private insurance with a single government-run health plan covering all Americans (118th Congress)

View on Congress.gov

Legal & Constitutional Grounding

Empirical evidence links lack of universal coverage to ~68,000 preventable deaths per year (Lancet 2020).

Lancet — Medicare for All: a systematic review of its effects on health (Feb 2020) — estimated 68,000 preventable deaths per year attributable to lack of universal coverage
  • CBO — Key Design Components and Considerations for Establishing a Single-Payer Health Care System (May 2019)
  • PNHP — Physicians for a National Health Program: evidence base on administrative savings (12-15% of health spending)
  • Kaiser Family Foundation — 2023 Employer Health Benefits Survey — average family premium: $23,968/year

Bill activity

Introduced May 17, 2023 by Pramila Jayapal (D-WA) with 112 original cosponsors. 114 cosponsors as of Dec 16, 2024.

Rep. Pat Ryan (D-NY-18) is not listed among the cosponsors of this bill.
  1. IntroducedMay 17, 2023
  2. Passed House 
  3. Passed Senate 
  4. To President 
  5. Became Law 

Latest action Dec 17, 2024: Referred to the Subcommittee on Health.

Sponsor Pramila Jayapal (D-WA)

114 cosponsors (112 original). The full list is below.

Cosponsorship closed Jan 3, 2025 (118th Congress): the Congress ended with the bill still in committee.

Activity log

Source: Congress.gov actions
  1. Introduced in House
  2. Referred to the House Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and the Workforce, Rules, Oversight and Accountability, Armed Services, and the Judiciary, for a period to be...
  3. 112 original cosponsors on the day of introduction
  4. Referred to the Subcommittee on Health.House
  5. Dean Phillips cosponsored (D-MN)
  6. LaMonica McIver cosponsored (D-NJ)
  7. Referred to the Subcommittee on Health.House

Votes on this bill

No recorded votes yet on this measure.

Cosponsors

114 cosponsored

Sponsor Introduced by Pramila Jayapal (D-WA) on May 17, 2023

MemberParty/StateDateDays after introductionOriginalGrade
Adam B. SchiffD-CAMay 17, 20230Original—
Adam SmithD-WAMay 17, 20230OriginalB+
Adriano EspaillatD-NYMay 17, 20230OriginalC+
Al GreenD-TXMay 17, 20230OriginalC+
Alexandria Ocasio-CortezD-NYMay 17, 20230OriginalA-
Alma S. AdamsD-NCMay 17, 20230OriginalC
André CarsonD-INMay 17, 20230OriginalB
Andrea SalinasD-ORMay 17, 20230OriginalB+
Ayanna PressleyD-MAMay 17, 20230OriginalB
Barbara LeeD-CAMay 17, 20230Original—
Becca BalintD-VTMay 17, 20230OriginalB
Bennie G. ThompsonD-MSMay 17, 20230OriginalB+
Betty McCollumD-MNMay 17, 20230OriginalB
Bonnie Watson ColemanD-NJMay 17, 20230OriginalB+
Brad ShermanD-CAMay 17, 20230OriginalB
Brendan F. BoyleD-PAMay 17, 20230OriginalC+
Brian HigginsD-NYMay 17, 20230Original—
Chellie PingreeD-MEMay 17, 20230OriginalA-
Christopher R. DeluzioD-PAMay 17, 20230OriginalB+
Cori BushD-MOMay 17, 20230Original—
Daniel S. GoldmanD-NYMay 17, 20230OriginalB
Danny K. DavisD-ILMay 17, 20230OriginalB
David N. CicillineD-RIMay 17, 20230Original—
Debbie DingellD-MIMay 17, 20230OriginalB+
Delia C. RamirezD-ILMay 17, 20230OriginalB+
Diana DeGetteD-COMay 17, 20230OriginalB
Dina TitusD-NVMay 17, 20230OriginalB+
Donald M. Payne Jr.D-NJMay 17, 20230Original—
Donald S. Beyer Jr.D-VAMay 17, 20230OriginalC+
Earl BlumenauerD-ORMay 17, 20230Original—
Eleanor Holmes NortonD-DCMay 17, 20230Original—
Emanuel CleaverD-MOMay 17, 20230OriginalB
Eric SwalwellD-CAMay 17, 20230OriginalB
Frank Pallone Jr.D-NJMay 17, 20230OriginalC
Frederica S. WilsonD-FLMay 17, 20230OriginalC+
Glenn IveyD-MDMay 17, 20230OriginalC+
Grace F. NapolitanoD-CAMay 17, 20230Original—
Grace MengD-NYMay 17, 20230OriginalB
Greg CasarD-TXMay 17, 20230OriginalB
Gregorio Kilili Camacho SablanD-MPMay 17, 20230Original—
Gregory W. MeeksD-NYMay 17, 20230OriginalC+
Henry C. "Hank" Johnson Jr.D-GAMay 17, 20230OriginalB
Ilhan OmarD-MNMay 17, 20230OriginalA+
Jahana HayesD-CTMay 17, 20230OriginalB
Jamaal BowmanD-NYMay 17, 20230Original—
James P. McGovernD-MAMay 17, 20230OriginalB+
Jamie RaskinD-MDMay 17, 20230OriginalB
Janice D. SchakowskyD-ILMay 17, 20230OriginalA+
Jared HuffmanD-CAMay 17, 20230OriginalB+
Jasmine CrockettD-TXMay 17, 20230OriginalB
Jerrold NadlerD-NYMay 17, 20230OriginalB+
Jesus G. "Chuy" GarciaD-ILMay 17, 20230OriginalB
Jill N. TokudaD-HIMay 17, 20230OriginalB+
Jimmy GomezD-CAMay 17, 20230OriginalC+
Jimmy PanettaD-CAMay 17, 20230OriginalC+
Joe NeguseD-COMay 17, 20230OriginalC
John GaramendiD-CAMay 17, 20230OriginalB
John P. SarbanesD-MDMay 17, 20230Original—
Jonathan L. JacksonD-ILMay 17, 20230OriginalB+
Josh HarderD-CAMay 17, 20230OriginalC
Juan VargasD-CAMay 17, 20230OriginalB
Judy ChuD-CAMay 17, 20230OriginalB+
Katie PorterD-CAMay 17, 20230Original—
Kevin MullinD-CAMay 17, 20230OriginalC+
Kweisi MfumeD-MDMay 17, 20230OriginalC+
Linda T. SánchezD-CAMay 17, 20230OriginalC
Lloyd DoggettD-TXMay 17, 20230OriginalA
Lois FrankelD-FLMay 17, 20230OriginalB+
Lori TrahanD-MAMay 17, 20230OriginalB
Mark DeSaulnierD-CAMay 17, 20230OriginalC+
Mark PocanD-WIMay 17, 20230OriginalA+
Mark TakanoD-CAMay 17, 20230OriginalB+
Matt CartwrightD-PAMay 17, 20230Original—
Maxine WatersD-CAMay 17, 20230OriginalB
Maxwell FrostD-FLMay 17, 20230OriginalB+
Melanie Ann StansburyD-NMMay 17, 20230OriginalB
Mike LevinD-CAMay 17, 20230OriginalC+
Mike QuigleyD-ILMay 17, 20230OriginalB
Mike ThompsonD-CAMay 17, 20230OriginalB
Morgan McGarveyD-KYMay 17, 20230OriginalC
Nanette Diaz BarraganD-CAMay 17, 20230OriginalB
Nikema WilliamsD-GAMay 17, 20230OriginalC+
Nydia M. VelazquezD-NYMay 17, 20230OriginalB+
Paul TonkoD-NYMay 17, 20230OriginalB
Rashida TlaibD-MIMay 17, 20230OriginalA+
Raúl M. GrijalvaD-AZMay 17, 20230Original—
Ritchie TorresD-NYMay 17, 20230OriginalB
Ro KhannaD-CAMay 17, 20230OriginalA
Robert C. "Bobby" ScottD-VAMay 17, 20230OriginalC
Robert GarciaD-CAMay 17, 20230OriginalC
Robin L. KellyD-ILMay 17, 20230OriginalB+
Salud O. CarbajalD-CAMay 17, 20230OriginalB
Sara JacobsD-CAMay 17, 20230OriginalB
Sheila Cherfilus-McCormickD-FLMay 17, 20230OriginalB+
Sheila Jackson LeeD-TXMay 17, 20230Original—
Shontel M. BrownD-OHMay 17, 20230OriginalC
Shri ThanedarD-MIMay 17, 20230OriginalA
Steve CohenD-TNMay 17, 20230OriginalA
Summer L. LeeD-PAMay 17, 20230OriginalB+
Susan WildD-PAMay 17, 20230Original—
Suzanne BonamiciD-ORMay 17, 20230OriginalB+
Sydney Kamlager-DoveD-CAMay 17, 20230OriginalC
Ted LieuD-CAMay 17, 20230OriginalB
Teresa Leger FernandezD-NMMay 17, 20230OriginalB
Tony CárdenasD-CAMay 17, 20230Original—
Troy CarterD-LAMay 17, 20230OriginalB
Val T. HoyleD-ORMay 17, 20230OriginalB
Valerie P. FousheeD-NCMay 17, 20230OriginalC+
Veronica EscobarD-TXMay 17, 20230OriginalC+
William R. KeatingD-MAMay 17, 20230OriginalC
Yvette D. ClarkeD-NYMay 17, 20230OriginalB
Zoe LofgrenD-CAMay 17, 20230OriginalC
Dean PhillipsD-MNFeb 5, 2024264—
LaMonica McIverD-NJDec 16, 2024579B+

Medicare for All Act — replaces private insurance with single-payer universal coverage. A single-payer system would eliminate coverage gaps, reduce administrative overhead, and guarantee healthcare as a right for all Americans.