111 S1506 IS: Medicare for All Act U.S. Senate 2025-04-29 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

II119th CONGRESS1st SessionS. 1506IN THE SENATE OF THE UNITED STATESApril 29, 2025Mr. Sanders (for himself, Ms. Baldwin, Mr. Blumenthal, Mr. Booker, Mrs. Gillibrand, Mr. Heinrich, Ms. Hirono, Mr. Luján, Mr. Markey, Mr. Merkley, Mr. Padilla, Mr. Schatz, Mr. Schmitt, Ms. Warren, Mr. Welch, and Mr. Whitehouse) introduced the following bill; which was read twice and referred to the Committee on FinanceA BILLTo establish a Medicare-for-All national health insurance program.

1.

Short title; table of contents

(a)

Short title

This Act may be cited as the Medicare for All Act.(b)

Table of contents

The table of contents for this Act is as follows:Sec. 1. Short title; table of contents.TITLE I—Establishment of the Medicare for All Program; Universal Entitlement to Benefits; EnrollmentSec. 101. Establishment of the Medicare for All Program.Sec. 102. Universal entitlement to benefits.Sec. 103. Freedom of choice.Sec. 104. Non-discrimination.Sec. 105. Enrollment.Sec. 106. Effective date of benefits.Sec. 107. Prohibition against duplicating coverage.TITLE II—Comprehensive Benefits, Including Benefits for Long-Term CareSec. 201. Comprehensive benefits.Sec. 202. No patient cost-sharing.Sec. 203. Exclusions and limitations.Sec. 204. Continued coverage of institutional long-term care and other services under Medicaid.Sec. 205. Prohibiting recovery of correctly paid Medicaid benefits.Sec. 206. Additional State standards.TITLE III—Provider ParticipationSec. 301. Provider participation and standards; whistleblower protections.Sec. 302. Qualifications for providers.Sec. 303. Use of private contracts.TITLE IV—AdministrationSubtitle A—General Administration ProvisionsSec. 401. Administration.Sec. 402. Consultation.Sec. 403. Regional administration.Sec. 404. Beneficiary Ombudsman.Sec. 405. Conduct of related health programs.Subtitle B—Control Over Fraud and AbuseSec. 411. Application of Federal sanctions to all fraud and abuse under Medicare for All Program.TITLE V—Quality of CareSec. 501. Quality standards.Sec. 502. Addressing health care disparities.TITLE VI—National Health Budget; Provider Payments; Cost Containment MeasuresSubtitle A—BudgetingSec. 601. National health budget.Sec. 602. Temporary worker assistance.Subtitle B—Payments to ProvidersSec. 611. Payments to institutional providers based on global budgets.Sec. 612. Payments to individual providers through fee-for-service.Sec. 613. Accurate valuation of services under the Medicare physician fee schedule.Sec. 614. Payments for prescription drugs and approved devices and equipment.Sec. 615. Payment prohibitions; capital expenditures; special projects.Sec. 616. Office of Health Equity.Sec. 617. Office of Primary Health Care.TITLE VII—Medicare for All Trust FundSec. 701. Medicare for All Trust Fund.TITLE VIII—Conforming Amendments to the Employee Retirement Income Security Act of 1974Sec. 801. Prohibition of employee benefits duplicative of benefits under the Medicare for All Program; coordination in case of workers’ compensation.Sec. 802. Repeal of continuation coverage requirements under ERISA and certain other requirements relating to group health plans.Sec. 803. Effective date of title.TITLE IX—Additional Conforming AmendmentsSec. 901. Relationship to existing Federal health programs.Sec. 902. Sunset of provisions related to the Federal and State Exchanges.TITLE X—Transition to Medicare for AllSubtitle A—Improvements to MedicareSec. 1001. Protecting Medicare fee-for-service beneficiaries from high out-of-pocket costs.Sec. 1002. Reducing Medicare part D annual out-of-pocket threshold.Sec. 1003. Expanding Medicare to cover dental and vision services and hearing aids and examinations under part B.Sec. 1004. Eliminating the 24-month waiting period for Medicare coverage for individuals with disabilities.Sec. 1005. Guaranteed issue of Medigap policies.Subtitle B—Temporary Medicare Buy-In Option and Temporary Public OptionSec. 1011. Lowering the Medicare age.Sec. 1012. Establishment of the Medicare transition plan.Subtitle C—Patient Protections During Medicare for All Transition PeriodSec. 1021. Minimizing disruptions to patient care.Sec. 1022. Public consultation.Sec. 1023. Definitions.TITLE XI—MiscellaneousSec. 1101. Updating resource limits for Supplemental Security Income eligibility (SSI).Sec. 1102. Definitions.