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H.R.676 / 108th Congress

Expanded and Improved Medicare for All Act

Sponsor introductory remarks on measure. (CR H4974-4975)

Official summary

Version 00 · Introduced in House · Feb 11, 2003

United States National Health Insurance Act (or the Expanded and Improved Medicare for All Act) - Establishes the United States National Health Insurance (USNHI ) Program (the Program), providing all individuals residing in the United States (including in U.S. territories) with health care. States benefits the Program shall offer, including: (1) primary care and prevention; (2) prescription drugs; (3) emergency care; and (4) mental health services.Prohibits institutions from participating as health providers in the Program unless they are a public or nonprofit institution, and provides for conversions of investor-owned providers with compensation for real property and equipment.Allows health maintenance organizations to participate in the Program under specified conditions. Permits patients to freedom of choice of participating physicians and other clinicians, hospitals, and inpatient care facilities. Prohibits a private health insurer from selling health insurance coverage that duplicates the benefits provided under this Act.Declares that the Program shall establish a prescription drug formulary system, which shall encourage best practices in prescribing and shall be updated frequently.Requires the Secretary of Health and Human Services to appoint a Director for the Program, who in turn shall appoint a director for an Office of Quality Control. Requires the director of the Office of Quality Control to conduct an annual review on the adequacy of medically needed services.Establishes a National Board of Universal Quality and Access, which shall 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.Declares that this Act shall take effect on January 1, 2005.

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Who introduced it

Rep. Conyers, John, Jr. [D-MI-14] · D–MI

Committees

  • Veterans' Affairs Committee
  • Ways and Means Committee
  • Energy and Commerce Committee
  • Natural Resources Committee
38 cosponsorship records, including any withdrawals

Actions

A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

  1. Sponsor introductory remarks on measure. (CR H4974-4975)

  2. Referred to the Subcommittee on Health.

  3. Referred to the Subcommittee on Health.

  4. Referred to the Subcommittee on Health.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. Introduced in House

  11. Introduced in House

Bill text & related measures

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Related bills identified by Congress.gov

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Source last updated: Aug 18, 2025. Consult Congress.gov for the current record.

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Objective

Analyze H.R.676 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

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Institutions and government scope

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Individual rights and government power

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