PlainBillCongress, translated.Legislation. Context. Public interest.Read twice and referred to the Committee on Finance.
Congressional Research Service
Version 00 · Introduced in Senate · Dec 9, 2013
American Health Security Act of 2013 - Expresses the sense of the Senate concerning: (1) enactment of a Medicare-for-All Single Payer Health Care System; (2) recognition of health care as a human right; (3) state flexibility in designing health care programs; and (4) the goals of a new single-payer health care system, efficiencies through integrated care, and implementation of policies to ensure higher quality, better prevention, and lower per capita costs.
Establishes the State-Based American Health Security Program to provide every U.S. resident with health care services. Requires each participating state to establish a state health security program.
Eliminates benefits under: (1) titles XVIII (Medicare), XIX (Medicaid), and XXI (Children's Health Insurance) (CHIP, formerly known as SCHIP) of the Social Security Act; (2) the Federal Employees Health Benefits Program; and (3) TRICARE.
Showing the opening paragraphs of the official summary.
Repeals provisions of the Patient Protection and Affordable Care Act (PPACA) related to health insurance coverage, including provisions concerning state health insurance exchanges.
Requires each state health security program to prohibit the sale of health insurance in that state that duplicates benefits provided under the program.
Establishes the American Health Security Standards Board to: (1) develop policies, procedures, guidelines and requirements to carry out this Act; (2) establish uniform reporting requirements and quality performance standards; (3) provide for an American Health Security Advisory Council; and (4) establish a national health security budget specifying the total federal and state expenditures to be made for covered health care services.
Establishes the American Health Security Quality Council to: (1) review and evaluate practice guidelines, standards of quality, performance measures, and medical review criteria; and (2) develop minimum competence criteria. Creates the Center for American Health Security Innovation to accelerate the implementation of new models of care that would improve patient care, improve population health, and lower costs.
Establishes the Office of Primary Care and Prevention Research within the Office of the Director of the National Institutes of Health (NIH).
Creates the American Health Security Trust Fund and appropriates to it specified tax liabilities and current health program receipts, including premium assistance credit amounts under PPACA.
Amends the Internal Revenue Code to impose on individuals: (1) a health care income tax, and (2) an income tax surcharge on amounts of modified adjusted gross income exceeding $1 million. Imposes an excise tax on securities transactions and allows an income tax credit for such taxes.
People & committees
Sen. Sanders, Bernard [I-VT] · I–VT
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Read twice and referred to the Committee on Finance.
Introduced in Senate
Primary sources
Text links open the official source. We currently store references to these documents.
Source last updated: Dec 5, 2025. Consult Congress.gov for the current record.
AI Conversation Starters
Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.
Analyze S.1782 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.
Examine S.1782 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.
Examine S.1782 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.
Examine S.1782 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.