# 119-hr-3069: Medicare for All Act

119-hr-3069, Medicare for All Act, is a 119th Congress bill sponsored by Rep. Jayapal, Pramila [D-WA-7] (D-WA); status introduced; PRIA reads it as touching household money (as of 2026-10-24).

- Canonical: https://policyrisk.com/legislation/119-hr-3069
- As of: 2026-10-24
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3069
- Congress: 119
- Title: Medicare for All Act
- Status: introduced
- Introduced: 2025-04-29
- Sponsor: Rep. Jayapal, Pramila [D-WA-7] (D-WA)
- Cosponsors: 118
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-24

## Summary

**This bill would create a national health insurance program called "Medicare for All" to provide** universal, comprehensive health coverage for every U.S. resident. It sets the benefit package, bans cost‑sharing for covered care, negotiates drug and device prices, and phases existing federal coverage into the new system during a multi‑year transition. - Families and children: Covers maternity care, pediatric services, mental health, prescription drugs, dental, vision, and more with no out‑of‑pocket costs for covered items. Children under 19 become eligible one year after enactment. - Older adults and people with disabilities: Establishes an entitlement to medically necessary long‑term services and supports in home and community settings, prioritizes independence and supports activities of daily living, and removes the 24‑month Medicare waiting period for people with disabilities. - Providers and the health system: Creates regional offices, pays institutional providers with negotiated quarterly global budgets and individual clinicians via a national fee schedule, restricts private contracting for covered services for two years, and gives the Secretary authority to negotiate prices and, if needed, license manufacture of drugs.

## Cosponsors (118)

- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-04-29T00:00:00.000Z
- Rep. Adams, Alma S. [D-NC-12] (D-NC), 2025-04-29T00:00:00.000Z
- Rep. Ansari, Yassamin [D-AZ-3] (D-AZ), 2025-04-29T00:00:00.000Z
- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2025-04-29T00:00:00.000Z
- Rep. Barragán, Nanette Diaz [D-CA-44] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Bell, Wesley [D-MO-1] (D-MO), 2025-04-29T00:00:00.000Z
- Rep. Beyer, Donald S. [D-VA-8] (D-VA), 2025-04-29T00:00:00.000Z
- Rep. Bonamici, Suzanne [D-OR-1] (D-OR), 2025-04-29T00:00:00.000Z
- Rep. Boyle, Brendan F. [D-PA-2] (D-PA), 2025-04-29T00:00:00.000Z
- Rep. Brown, Shontel M. [D-OH-11] (D-OH), 2025-04-29T00:00:00.000Z
- Rep. Carbajal, Salud O. [D-CA-24] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Carson, André [D-IN-7] (D-IN), 2025-04-29T00:00:00.000Z
- Rep. Carter, Troy A. [D-LA-2] (D-LA), 2025-04-29T00:00:00.000Z
- Rep. Casar, Greg [D-TX-35] (D-TX), 2025-04-29T00:00:00.000Z
- Rep. Cherfilus-McCormick, Sheila [D-FL-20] (D-FL), 2025-04-29T00:00:00.000Z
- Rep. Chu, Judy [D-CA-28] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-04-29T00:00:00.000Z
- Rep. Cleaver, Emanuel [D-MO-5] (D-MO), 2025-04-29T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2025-04-29T00:00:00.000Z
- Rep. Crockett, Jasmine [D-TX-30] (D-TX), 2025-04-29T00:00:00.000Z
- Rep. Davis, Danny K. [D-IL-7] (D-IL), 2025-04-29T00:00:00.000Z
- Rep. DeGette, Diana [D-CO-1] (D-CO), 2025-04-29T00:00:00.000Z
- Rep. Deluzio, Christopher R. [D-PA-17] (D-PA), 2025-04-29T00:00:00.000Z
- Rep. DeSaulnier, Mark [D-CA-10] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Dexter, Maxine [D-OR-3] (D-OR), 2025-04-29T00:00:00.000Z
- Rep. Doggett, Lloyd [D-TX-37] (D-TX), 2025-04-29T00:00:00.000Z
- Rep. Escobar, Veronica [D-TX-16] (D-TX), 2025-04-29T00:00:00.000Z
- Rep. Espaillat, Adriano [D-NY-13] (D-NY), 2025-04-29T00:00:00.000Z
- Rep. Foushee, Valerie P. [D-NC-4] (D-NC), 2025-04-29T00:00:00.000Z
- Rep. Frankel, Lois [D-FL-22] (D-FL), 2025-04-29T00:00:00.000Z
- Rep. Friedman, Laura [D-CA-30] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Frost, Maxwell [D-FL-10] (D-FL), 2025-04-29T00:00:00.000Z
- Rep. Garamendi, John [D-CA-8] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Garcia, Robert [D-CA-42] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. García, Jesús G. "Chuy" [D-IL-4] (D-IL), 2025-04-29T00:00:00.000Z
- Rep. Goldman, Daniel S. [D-NY-10] (D-NY), 2025-04-29T00:00:00.000Z
- Rep. Gomez, Jimmy [D-CA-34] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Green, Al [D-TX-9] (D-TX), 2025-04-29T00:00:00.000Z
- Rep. Hayes, Jahana [D-CT-5] (D-CT), 2025-04-29T00:00:00.000Z
- Rep. Hoyle, Val T. [D-OR-4] (D-OR), 2025-04-29T00:00:00.000Z
- Rep. Huffman, Jared [D-CA-2] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Jackson, Jonathan L. [D-IL-1] (D-IL), 2025-04-29T00:00:00.000Z
- Rep. Jacobs, Sara [D-CA-51] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2025-04-29T00:00:00.000Z
- Rep. Kamlager-Dove, Sydney [D-CA-37] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Keating, William R. [D-MA-9] (D-MA), 2025-04-29T00:00:00.000Z
- Rep. Kelly, Robin L. [D-IL-2] (D-IL), 2025-04-29T00:00:00.000Z
- Rep. Kennedy, Timothy M. [D-NY-26] (D-NY), 2025-04-29T00:00:00.000Z
- Rep. Khanna, Ro [D-CA-17] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Lee, Summer L. [D-PA-12] (D-PA), 2025-04-29T00:00:00.000Z
- Rep. Leger Fernandez, Teresa [D-NM-3] (D-NM), 2025-04-29T00:00:00.000Z
- Rep. Levin, Mike [D-CA-49] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Lieu, Ted [D-CA-36] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Lofgren, Zoe [D-CA-18] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. McCollum, Betty [D-MN-4] (D-MN), 2025-04-29T00:00:00.000Z
- Rep. McGarvey, Morgan [D-KY-3] (D-KY), 2025-04-29T00:00:00.000Z
- Rep. McGovern, James P. [D-MA-2] (D-MA), 2025-04-29T00:00:00.000Z
- Rep. McIver, LaMonica [D-NJ-10] (D-NJ), 2025-04-29T00:00:00.000Z
- Rep. Meeks, Gregory W. [D-NY-5] (D-NY), 2025-04-29T00:00:00.000Z
- Rep. Meng, Grace [D-NY-6] (D-NY), 2025-04-29T00:00:00.000Z
- Rep. Mfume, Kweisi [D-MD-7] (D-MD), 2025-04-29T00:00:00.000Z
- Rep. Min, Dave [D-CA-47] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Mullin, Kevin [D-CA-15] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Nadler, Jerrold [D-NY-12] (D-NY), 2025-04-29T00:00:00.000Z
- Rep. Neguse, Joe [D-CO-2] (D-CO), 2025-04-29T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-04-29T00:00:00.000Z
- Rep. Ocasio-Cortez, Alexandria [D-NY-14] (D-NY), 2025-04-29T00:00:00.000Z
- Rep. Omar, Ilhan [D-MN-5] (D-MN), 2025-04-29T00:00:00.000Z
- Rep. Pallone, Frank [D-NJ-6] (D-NJ), 2025-04-29T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2025-04-29T00:00:00.000Z
- Rep. Pocan, Mark [D-WI-2] (D-WI), 2025-04-29T00:00:00.000Z
- Rep. Pressley, Ayanna [D-MA-7] (D-MA), 2025-04-29T00:00:00.000Z
- Rep. Quigley, Mike [D-IL-5] (D-IL), 2025-04-29T00:00:00.000Z
- Rep. Ramirez, Delia C. [D-IL-3] (D-IL), 2025-04-29T00:00:00.000Z
- Rep. Randall, Emily [D-WA-6] (D-WA), 2025-04-29T00:00:00.000Z
- Rep. Raskin, Jamie [D-MD-8] (D-MD), 2025-04-29T00:00:00.000Z
- Rep. Rivas, Luz M. [D-CA-29] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Salinas, Andrea [D-OR-6] (D-OR), 2025-04-29T00:00:00.000Z
- Rep. Sánchez, Linda T. [D-CA-38] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Schakowsky, Janice D. [D-IL-9] (D-IL), 2025-04-29T00:00:00.000Z
- Rep. Scott, Robert C. "Bobby" [D-VA-3] (D-VA), 2025-04-29T00:00:00.000Z
- Rep. Sherman, Brad [D-CA-32] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Simon, Lateefah [D-CA-12] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Smith, Adam [D-WA-9] (D-WA), 2025-04-29T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2025-04-29T00:00:00.000Z
- Rep. Swalwell, Eric [D-CA-14] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Takano, Mark [D-CA-39] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-04-29T00:00:00.000Z
- Rep. Thompson, Bennie G. [D-MS-2] (D-MS), 2025-04-29T00:00:00.000Z
- Rep. Thompson, Mike [D-CA-4] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Titus, Dina [D-NV-1] (D-NV), 2025-04-29T00:00:00.000Z
- Rep. Tlaib, Rashida [D-MI-12] (D-MI), 2025-04-29T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-04-29T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2025-04-29T00:00:00.000Z
- Rep. Trahan, Lori [D-MA-3] (D-MA), 2025-04-29T00:00:00.000Z
- Rep. Vargas, Juan [D-CA-52] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Velázquez, Nydia M. [D-NY-7] (D-NY), 2025-04-29T00:00:00.000Z
- Rep. Waters, Maxine [D-CA-43] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Watson Coleman, Bonnie [D-NJ-12] (D-NJ), 2025-04-29T00:00:00.000Z
- Rep. Williams, Nikema [D-GA-5] (D-GA), 2025-04-29T00:00:00.000Z
- Rep. Wilson, Frederica S. [D-FL-24] (D-FL), 2025-04-29T00:00:00.000Z
- Rep. Harder, Josh [D-CA-9] (D-CA), 2025-04-29T00:00:00.000Z
- Rep. Ivey, Glenn [D-MD-4] (D-MD), 2025-04-29T00:00:00.000Z
- Rep. Torres, Ritchie [D-NY-15] (D-NY), 2025-04-29T00:00:00.000Z
- Rep. Figures, Shomari [D-AL-2] (D-AL), 2025-09-03T00:00:00.000Z
- Rep. Crow, Jason [D-CO-6] (D-CO), 2026-10-22T00:00:00.000Z
- Rep. Grijalva, Adelita S. [D-AZ-7] (D-AZ), 2025-11-20T00:00:00.000Z
- Rep. McClain Delaney, April [D-MD-6] (D-MD), 2025-12-02T00:00:00.000Z
- Rep. Johnson, Julie [D-TX-32] (D-TX), 2025-12-10T00:00:00.000Z
- Rep. Moskowitz, Jared [D-FL-23] (D-FL), 2025-12-10T00:00:00.000Z
- Rep. Elfreth, Sarah [D-MD-3] (D-MD), 2025-12-18T00:00:00.000Z
- Rep. Larson, John B. [D-CT-1] (D-CT), 2026-03-02T00:00:00.000Z
- Rep. Menefee, Christian D. [D-TX-18] (D-TX), 2026-04-21T00:00:00.000Z
- Rep. Mejia, Analilia [D-NJ-11] (D-NJ), 2026-04-27T00:00:00.000Z
- Rep. Blair, Everton [D-GA-13] (D-GA), 2026-09-14T00:00:00.000Z
- Rep. Bynum, Janelle S. [D-OR-5] (D-OR), 2026-09-16T00:00:00.000Z
- Wahab (D-CA), 2026-09-24T00:00:00.000Z

## Provisions PRIA read

- Long-term care and supports at home: benefit, high. If enacted, people with medical conditions that limit daily activities could get long‑term services and supports. The program would favor home and community services unless you choose otherwise. Services would be based on medical need and functional limits, and you could have options to self‑direct…
- Nationwide coverage with no medical bills: benefit, high. If enacted, a national Medicare for All program would cover U.S. residents. It would pay for a wide range of medically necessary care, including hospital, primary care, drugs, mental health, dental, vision, and more. You would not owe deductibles, copays, or coinsurance for covered care, and provid…
- National quality standards and equity data: benefit, high. If enacted, the government would set national clinical standards and performance measures and build a public database from provider reports. Methods that discriminate against people with disabilities in value or cost‑effectiveness ratings would be banned. The Office of Health Equity would publish d…
- One-year Medicare Buy-In plan: benefit, medium. If enacted, for the year starting one year after enactment, a government Buy‑In plan would be sold on the Exchanges. It would cover most Medicare for All benefits at a 90% actuarial value. It would pay providers using the bill’s fee schedule and use negotiated drug prices. Premiums could vary by fa…
- Start dates and early enrollment protections: benefit, medium. If enacted, most benefits would start two years after enactment. Some people would get coverage one year after enactment: those under 19 and those age 55 or older on that date. During the transition, plans generally could not cut off your coverage, and the Secretary would protect continuity of care…
- Extra tax help for Buy-In premiums: benefit, medium. If enacted, the Buy‑In would qualify for cost‑sharing help under the ACA. People who are lawfully present would be treated as having income at 100% of the poverty line for these rules, and special rules would apply in non‑expansion states. Tax credits for Buy‑In months would use a special table and…
- Appeals help and doctor discretion: benefit, low. If enacted, the Secretary would set national rules for experimental coverage and create an appeals process similar to Medicare. A Beneficiary Ombudsman would take complaints and help with appeals. Your treating clinician could override guidelines when medically necessary and consistent with your wi…
- Worker protections and licensing preserved: benefit, low. If enacted, your existing workplace rights under federal or state law and union contracts would stay in place. Employers could not punish you for reporting violations or refusing unlawful acts under this bill. The bill would not change state licensing and practice rules for health professionals.
- Program funds not for registration enforcement: benefit, low. If enacted, money, staff, or equipment from this program could not be used to enforce any rule that makes people register based on religion, national origin, ethnicity, immigration status, or other protected traits.
- Old plans phase out; no duplicates: mixed, high. If enacted, two years after enactment, people eligible under this bill would no longer get Medicare, Medicaid, or CHIP payments for services. FEHB would stop paying for eligible people, and TRICARE purchased care would generally stop (TRICARE Overseas may pay while abroad). VA and Indian Health Ser…
- End federal value-based payment programs: mixed, high. If enacted, federal pay‑for‑performance and value‑based programs like MIPS, EHR incentives, APMs, and several ACA initiatives would end on the program’s effective date. Other laws tied to those programs would also stop.
- National health budget and trust fund: mixed, high. If enacted, the Secretary would set a national health budget each year starting before benefits begin. The budget would include operating, capital, special projects, quality, workforce education, administration, a reserve, and prevention funds, with regional allotments and priority for underserved…
- Rules for private contracts outside program: mixed, medium. If enacted, starting two years after enactment, some providers could offer private contracts. You would have to sign a written contract before care, and contracts are not allowed in emergencies. Nonparticipating providers must file an affidavit within 10 days and agree not to bill the program for t…
- New rules and penalties for providers: mixed, medium. If enacted, providers would need to sign participation agreements, be licensed where the patient is located, treat patients without discrimination, and bill/report within tight timelines. Federal fraud and abuse rules would apply, and whistleblowers would be protected. Bonuses tied to utilization o…

## Related bills

- 119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025
- 119-hr-15: Equality Act
- 119-hr-1810: Safe Schools Improvement Act
- 119-hr-14: John R. Lewis Voting Rights Advancement Act of 2025
- 119-hr-51: Washington, D.C. Admission Act
- 119-hr-7973: Momnibus Act

## Sources
- [119-hr-3069 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3069)

## Related
- [119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025](https://policyrisk.com/legislation/119-hr-20)
- [119-hr-15: Equality Act](https://policyrisk.com/legislation/119-hr-15)
- [119-hr-1810: Safe Schools Improvement Act](https://policyrisk.com/legislation/119-hr-1810)
- [119-hr-14: John R. Lewis Voting Rights Advancement Act of 2025](https://policyrisk.com/legislation/119-hr-14)
- [119-hr-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-hr-51)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3069 (as of 2026-10-24).