<mods xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://www.loc.gov/mods/v3" version="3.3" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-3.xsd" ID="P0b002ee1d57de857">
    <name type="corporate">
         <namePart>United States Government Publishing Office</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">publisher</roleTerm>
              <roleTerm authority="marcrelator" type="code">pbl</roleTerm>
        </role>
         <role>
              <roleTerm authority="marcrelator" type="text">distributor</roleTerm>
              <roleTerm authority="marcrelator" type="code">dst</roleTerm>
        </role>
    </name>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Congress</namePart>
         <namePart>House of Representatives</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">author</roleTerm>
              <roleTerm authority="marcrelator" type="code">aut</roleTerm>
        </role>
         <description>Government Organization</description>
    </name>
    <typeOfResource>text</typeOfResource>
    <genre authority="marcgt">government publication</genre>
    <language>
         <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
    </language>
    <extension>
         <collectionCode>BILLS</collectionCode>
         <searchTitle>To amend title I of the Patient Protection and Affordable Care Act to authorize the establishment of, and provide support for, State-based universal health care systems that provide comprehensive health benefits to State residents, and for other purposes.;State-Based Universal Health Care Act of 2025;H.R. 4406 (IH)
    </searchTitle>
         <category>Bills and Statutes</category>
         <waisDatabaseName>119_cong_bills</waisDatabaseName>
         <branch>legislative</branch>
         <dateIngested>2025-07-22</dateIngested>
    </extension>
    <titleInfo>
         <title>To amend title I of the Patient Protection and Affordable Care Act to authorize the establishment of, and provide support for, State-based universal health care systems that provide comprehensive health benefits to State residents, and for other purposes.</title>
    </titleInfo>
    <titleInfo type="alternative">
         <title>State-Based Universal Health Care Act of 2025</title>
    </titleInfo>
    <titleInfo type="alternative">
         <title>H.R. 4406 (IH)
    </title>
    </titleInfo>
    <originInfo>
         <publisher>U.S. Government Publishing Office</publisher>
         <dateIssued encoding="w3cdtf">2025-07-15</dateIssued>
         <issuance>monographic</issuance>
    </originInfo>
    <physicalDescription>
         <note type="source content type">deposited</note>
         <digitalOrigin>born digital</digitalOrigin>
         <extent>30 p.</extent>
    </physicalDescription>
    <classification authority="sudocs">Y 1.6:</classification>
    <classification authority="sudocs">Y 1.4/6:</classification>
    <identifier type="local">P0b002ee1d57de857</identifier>
    <identifier type="uri">https://www.govinfo.gov/app/details/BILLS-119hr4406ih</identifier>
    <identifier type="preferred citation">H.R. 4406</identifier>
    <identifier type="stock number">021-610-00252-9</identifier>
    <identifier type="Parent ILS system id">000501532</identifier>
    <identifier type="Child ILS system id">000325573</identifier>
    <identifier type="Parent ILS title">Congressional bills</identifier>
    <identifier type="Child ILS title">House bills</identifier>
    <identifier type="former package identifier">f:h4406_ih.txt</identifier>
    <location>
         <url displayLabel="Content Detail" access="object in context">https://www.govinfo.gov/app/details/BILLS-119hr4406ih</url>
         <url displayLabel="HTML rendition" access="raw object">https://www.govinfo.gov/content/pkg/BILLS-119hr4406ih/html/BILLS-119hr4406ih.htm</url>
         <url displayLabel="PDF rendition" access="raw object">https://www.govinfo.gov/content/pkg/BILLS-119hr4406ih/pdf/BILLS-119hr4406ih.pdf</url>
         <url displayLabel="XML rendition" access="raw object">https://www.govinfo.gov/content/pkg/BILLS-119hr4406ih/xml/BILLS-119hr4406ih.xml</url>
    </location>
    <accessCondition type="GPO scope determination">fdlp</accessCondition>
    <recordInfo>
         <recordContentSource authority="marcorg">DGPO</recordContentSource>
         <recordCreationDate encoding="w3cdtf">2025-07-22</recordCreationDate>
         <recordChangeDate encoding="w3cdtf">2025-07-23</recordChangeDate>
         <recordIdentifier source="DGPO">BILLS-119hr4406ih</recordIdentifier>
         <recordOrigin>machine generated</recordOrigin>
         <languageOfCataloging>
              <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
        </languageOfCataloging>
    </recordInfo>
    <name type="personal">
         <namePart>Ro Khanna</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm authority="marcrelator" type="text">sponsor</roleTerm>
              <roleTerm authority="marcrelator" type="code">spn</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Sheila Cherfilus-McCormick</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Steve Cohen</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>James P. McGovern</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Eleanor Holmes Norton</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Joe Neguse</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Ilhan Omar</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Chellie Pingree</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Andrea Salinas</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Adam Smith</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Shri Thanedar</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Jared Huffman</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Rashida Tlaib</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Bonnie Watson Coleman</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Pramila Jayapal</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Summer L. Lee</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Bennie G. Thompson</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Yassamin Ansari</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Suzanne Bonamici</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Jerrold Nadler</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Delia C. Ramirez</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Maxine Dexter</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="personal">
         <namePart>Ms. Velázquez</namePart>
         <affiliation>United States House of Representatives</affiliation>
         <role>
              <roleTerm type="text">cosponsor</roleTerm>
        </role>
         <description>United States Congress Member</description>
    </name>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Congress</namePart>
         <namePart>House of Representatives</namePart>
         <namePart>Committee on Armed Services</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">associated name</roleTerm>
              <roleTerm authority="marcrelator" type="code">asn</roleTerm>
        </role>
    </name>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Congress</namePart>
         <namePart>House of Representatives</namePart>
         <namePart>Committee on Education and Workforce</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">associated name</roleTerm>
              <roleTerm authority="marcrelator" type="code">asn</roleTerm>
        </role>
    </name>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Congress</namePart>
         <namePart>House of Representatives</namePart>
         <namePart>Committee on Oversight and Government Reform</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">associated name</roleTerm>
              <roleTerm authority="marcrelator" type="code">asn</roleTerm>
        </role>
    </name>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Congress</namePart>
         <namePart>House of Representatives</namePart>
         <namePart>Committee on Energy and Commerce</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">associated name</roleTerm>
              <roleTerm authority="marcrelator" type="code">asn</roleTerm>
        </role>
    </name>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Congress</namePart>
         <namePart>House of Representatives</namePart>
         <namePart>Committee on Ways and Means</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">associated name</roleTerm>
              <roleTerm authority="marcrelator" type="code">asn</roleTerm>
        </role>
    </name>
    <relatedItem type="isReferencedBy">
         <titleInfo>
              <title>United States Code</title>
        </titleInfo>
    </relatedItem>
    <relatedItem type="isReferencedBy">
         <titleInfo>
              <title>United States Code</title>
              <partNumber>Title 42 Section 18001note</partNumber>
              <partNumber>Title 42 Section 18021et seq.</partNumber>
              <partNumber>Title 42 Section 300gg</partNumber>
        </titleInfo>
         <identifier type="USC citation">42 U.S.C. 18001note</identifier>
         <identifier type="USC citation">42 U.S.C. 18021et seq.</identifier>
         <identifier type="USC citation">42 U.S.C. 300gg</identifier>
    </relatedItem>
    <extension>
         <docClass>hr</docClass>
         <accessId>BILLS-119hr4406ih</accessId>
         <congress>119</congress>
         <session>1</session>
         <originChamber>HOUSE</originChamber>
         <currentChamber>HOUSE</currentChamber>
         <billNumber>4406</billNumber>
         <billVersion reprint="false">ih</billVersion>
         <fileSuffix>ih</fileSuffix>
         <shortTitle type="measure">State-Based Universal Health Care Act of 2025</shortTitle>
         <officialTitle>To amend title I of the Patient Protection and Affordable Care Act to authorize the establishment of, and provide support for, State-based universal health care systems that provide comprehensive health benefits to State residents, and for other purposes.</officialTitle>
         <action date="2025-07-15">Mr. Khanna (for himself, Mrs. Cherfilus-McCormick, Mr. Cohen, Mr. McGovern, Ms. Norton, Mr. Neguse, Ms. Omar, Ms. Pingree, Ms. Salinas, Mr. Smith of Washington, Mr. Thanedar, Mr. Huffman, Ms. Tlaib, Mrs. Watson Coleman, Ms. Jayapal, Ms. Lee of Pennsylvania, Mr. Thompson of Mississippi, Ms. Ansari, Ms. Bonamici, Mr. Nadler, Mrs. Ramirez, Ms. Dexter, and Ms. Velázquez) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Armed Services, Ways and Means, Oversight and Government Reform, and Education and Workforce, 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</action>
         <congCommittee authorityId="hsas00" chamber="H" congress="119" type="S">
                                
              <name type="authority-standard">Committee on Armed Services</name>
                                
              <name type="authority-short">Armed Services</name>
                            
        </congCommittee>
         <congCommittee authorityId="hsed00" chamber="H" congress="119" type="S">
                                
              <name type="authority-standard">Committee on Education and Workforce</name>
                                
              <name type="authority-short">Education and Workforce</name>
                            
        </congCommittee>
         <congCommittee authorityId="hsgo00" chamber="H" congress="119" type="S">
                                
              <name type="authority-standard">Committee on Oversight and Government Reform</name>
                                
              <name type="authority-short">Oversight and Government Reform</name>
                            
        </congCommittee>
         <congCommittee authorityId="hsif00" chamber="H" congress="119" type="S">
                                
              <name type="authority-standard">Committee on Energy and Commerce</name>
                                
              <name type="authority-short">Energy and Commerce</name>
                            
        </congCommittee>
         <congCommittee authorityId="hswm00" chamber="H" congress="119" type="S">
                                
              <name type="authority-standard">Committee on Ways and Means</name>
                                
              <name type="authority-short">Ways and Means</name>
                            
        </congCommittee>
         <congMember bioGuideId="K000389" chamber="H" congress="119" party="D" role="SPONSOR" state="CA">
                                
              <name type="parsed">Mr. Khanna</name>
                                
              <name type="authority-fnf">Ro Khanna</name>
                                
              <name type="authority-lnf">Khanna, Ro</name>
                            
        </congMember>
         <congMember bioGuideId="C001127" chamber="H" congress="119" party="D" role="COSPONSOR" state="FL">
                                
              <name type="parsed">Mrs. Cherfilus-McCormick</name>
                                
              <name type="authority-fnf">Sheila Cherfilus-McCormick</name>
                                
              <name type="authority-lnf">Cherfilus-McCormick, Sheila</name>
                            
        </congMember>
         <congMember bioGuideId="C001068" chamber="H" congress="119" party="D" role="COSPONSOR" state="TN">
                                
              <name type="parsed">Mr. Cohen</name>
                                
              <name type="authority-fnf">Steve Cohen</name>
                                
              <name type="authority-lnf">Cohen, Steve</name>
                            
        </congMember>
         <congMember bioGuideId="M000312" chamber="H" congress="119" party="D" role="COSPONSOR" state="MA">
                                
              <name type="parsed">Mr. McGovern</name>
                                
              <name type="authority-fnf">James P. McGovern</name>
                                
              <name type="authority-lnf">McGovern, James P.</name>
                                
              <name type="authority-other">James McGovern</name>
                            
        </congMember>
         <congMember bioGuideId="N000147" chamber="H" congress="119" party="D" role="COSPONSOR" state="DC">
                                
              <name type="parsed">Ms. Norton</name>
                                
              <name type="authority-fnf">Eleanor Holmes Norton</name>
                                
              <name type="authority-lnf">Norton, Eleanor Holmes</name>
                                
              <name type="authority-other">Eleanor Norton</name>
                            
        </congMember>
         <congMember bioGuideId="N000191" chamber="H" congress="119" party="D" role="COSPONSOR" state="CO">
                                
              <name type="parsed">Mr. Neguse</name>
                                
              <name type="authority-fnf">Joe Neguse</name>
                                
              <name type="authority-lnf">Neguse, Joe</name>
                            
        </congMember>
         <congMember bioGuideId="O000173" chamber="H" congress="119" party="D" role="COSPONSOR" state="MN">
                                
              <name type="parsed">Ms. Omar</name>
                                
              <name type="authority-fnf">Ilhan Omar</name>
                                
              <name type="authority-lnf">Omar, Ilhan</name>
                            
        </congMember>
         <congMember bioGuideId="P000597" chamber="H" congress="119" party="D" role="COSPONSOR" state="ME">
                                
              <name type="parsed">Ms. Pingree</name>
                                
              <name type="authority-fnf">Chellie Pingree</name>
                                
              <name type="authority-lnf">Pingree, Chellie</name>
                            
        </congMember>
         <congMember bioGuideId="S001226" chamber="H" congress="119" party="D" role="COSPONSOR" state="OR">
                                
              <name type="parsed">Ms. Salinas</name>
                                
              <name type="authority-fnf">Andrea Salinas</name>
                                
              <name type="authority-lnf">Salinas, Andrea</name>
                            
        </congMember>
         <congMember bioGuideId="S000510" chamber="H" congress="119" party="D" role="COSPONSOR" state="WA">
                                
              <name type="parsed">Mr. Smith of Washington</name>
                                
              <name type="authority-fnf">Adam Smith</name>
                                
              <name type="authority-lnf">Smith, Adam</name>
                            
        </congMember>
         <congMember bioGuideId="T000488" chamber="H" congress="119" party="D" role="COSPONSOR" state="MI">
                                
              <name type="parsed">Mr. Thanedar</name>
                                
              <name type="authority-fnf">Shri Thanedar</name>
                                
              <name type="authority-lnf">Thanedar, Shri</name>
                            
        </congMember>
         <congMember bioGuideId="H001068" chamber="H" congress="119" party="D" role="COSPONSOR" state="CA">
                                
              <name type="parsed">Mr. Huffman</name>
                                
              <name type="authority-fnf">Jared Huffman</name>
                                
              <name type="authority-lnf">Huffman, Jared</name>
                            
        </congMember>
         <congMember bioGuideId="T000481" chamber="H" congress="119" party="D" role="COSPONSOR" state="MI">
                                
              <name type="parsed">Ms. Tlaib</name>
                                
              <name type="authority-fnf">Rashida Tlaib</name>
                                
              <name type="authority-lnf">Tlaib, Rashida</name>
                            
        </congMember>
         <congMember bioGuideId="W000822" chamber="H" congress="119" party="D" role="COSPONSOR" state="NJ">
                                
              <name type="parsed">Mrs. Watson Coleman</name>
                                
              <name type="authority-fnf">Bonnie Watson Coleman</name>
                                
              <name type="authority-lnf">Watson Coleman, Bonnie</name>
                            
        </congMember>
         <congMember bioGuideId="J000298" chamber="H" congress="119" party="D" role="COSPONSOR" state="WA">
                                
              <name type="parsed">Ms. Jayapal</name>
                                
              <name type="authority-fnf">Pramila Jayapal</name>
                                
              <name type="authority-lnf">Jayapal, Pramila</name>
                            
        </congMember>
         <congMember bioGuideId="L000602" chamber="H" congress="119" party="D" role="COSPONSOR" state="PA">
                                
              <name type="parsed">Ms. Lee of Pennsylvania</name>
                                
              <name type="authority-fnf">Summer L. Lee</name>
                                
              <name type="authority-lnf">Lee, Summer L.</name>
                                
              <name type="authority-other">Summer Lee</name>
                            
        </congMember>
         <congMember bioGuideId="T000193" chamber="H" congress="119" party="D" role="COSPONSOR" state="MS">
                                
              <name type="parsed">Mr. Thompson of Mississippi</name>
                                
              <name type="authority-fnf">Bennie G. Thompson</name>
                                
              <name type="authority-lnf">Thompson, Bennie G.</name>
                                
              <name type="authority-other">Bennie Thompson</name>
                            
        </congMember>
         <congMember bioGuideId="A000381" chamber="H" congress="119" party="D" role="COSPONSOR" state="AZ">
                                
              <name type="parsed">Ms. Ansari</name>
                                
              <name type="authority-fnf">Yassamin Ansari</name>
                                
              <name type="authority-lnf">Ansari, Yassamin</name>
                            
        </congMember>
         <congMember bioGuideId="B001278" chamber="H" congress="119" party="D" role="COSPONSOR" state="OR">
                                
              <name type="parsed">Ms. Bonamici</name>
                                
              <name type="authority-fnf">Suzanne Bonamici</name>
                                
              <name type="authority-lnf">Bonamici, Suzanne</name>
                            
        </congMember>
         <congMember bioGuideId="N000002" chamber="H" congress="119" party="D" role="COSPONSOR" state="NY">
                                
              <name type="parsed">Mr. Nadler</name>
                                
              <name type="authority-fnf">Jerrold Nadler</name>
                                
              <name type="authority-lnf">Nadler, Jerrold</name>
                            
        </congMember>
         <congMember bioGuideId="R000617" chamber="H" congress="119" party="D" role="COSPONSOR" state="IL">
                                
              <name type="parsed">Mrs. Ramirez</name>
                                
              <name type="authority-fnf">Delia C. Ramirez</name>
                                
              <name type="authority-lnf">Ramirez, Delia C.</name>
                                
              <name type="authority-other">Delia Ramirez</name>
                            
        </congMember>
         <congMember bioGuideId="D000635" chamber="H" congress="119" party="D" role="COSPONSOR" state="OR">
                                
              <name type="parsed">Ms. Dexter</name>
                                
              <name type="authority-fnf">Maxine Dexter</name>
                                
              <name type="authority-lnf">Dexter, Maxine</name>
                            
        </congMember>
         <congMember chamber="H" congress="119" role="COSPONSOR">
                                
              <name type="parsed">Ms. Velázquez</name>
                            
        </congMember>
         <isPrivate>false</isPrivate>
         <isAppropriation>false</isAppropriation>
         <USCode title="26"></USCode>
         <USCode title="42">
                                
              <section detail="note" number="18001"></section>
                                
              <section detail="et seq." number="18021"></section>
                                
              <section number="300gg"></section>
                            
        </USCode>
    </extension>
</mods>