IV 
116TH CONGRESS 
1ST SESSION 
H. RES. 532 
Proposing a strategy to make Medicare available to all Americans. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 30, 2019 
Ms. LOFGREN submitted the following resolution; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committees 
on Ways and Means, Natural Resources, and Veterans’ Affairs, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
RESOLUTION 
Proposing a strategy to make Medicare available to all 
Americans. 
Whereas the United States spends more money per capita on 
health care than any other industrialized nation; 
Whereas 80 percent of adults are dissatisfied with the total 
cost of health care in the country; 
Whereas 77 percent of Americans are concerned that rising 
health care costs will damage the American economy; 
Whereas 68 percent of Americans support a national health 
care plan; 
Whereas the rate of uninsured individuals is at a 4-year high 
of 13.7 percent; 
VerDate Sep 11 2014 
22:47 Jul 30, 2019
Jkt 089200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6300
E:\BILLS\HR532.IH
HR532
kjohnson on DSK79L0C42 with BILLS
•HRES 532 IH 
Whereas Medicare is consistently rated the most popular and 
efficient health insurance system in the country; 
Whereas 90 percent of adults aged 65 and older, with most 
adults in this group qualifying for Medicare, rate both 
their care and coverage positively; 
Whereas private health insurance coverage continues to be 
more prevalent than government coverage, at 67.2 per-
cent and 37.7 percent, respectively; 
Whereas employer-based insurance was the most common 
subtype of private health insurance coverage, at 56 per-
cent; 
Whereas 80 percent of adults rate the quality of health care 
received as excellent or good; 
Whereas 69 percent of adults rate their health care coverage 
as excellent or good; and 
Whereas 60 percent of Americans believe it is the Federal 
Government’s responsibility to ensure health care cov-
erage: Now, therefore, be it 
Resolved, That it is the sense of the House of Rep-
resentatives that— 
(1) making Medicare an available insurance 
plan for all Americans should be a unified goal de-
spite differences in proposed strategies to achieve it; 
(2) the complexity of the existing health care 
system in the United States should be considered; 
(3) the desire of individuals to retain the ability 
to choose their health care should be considered; 
VerDate Sep 11 2014 
22:47 Jul 30, 2019
Jkt 089200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\HR532.IH
HR532
kjohnson on DSK79L0C42 with BILLS
•HRES 532 IH 
(4) a serious effort to change the health care 
system will require years of work; 
(5) a transition plan to reach this goal promptly 
could, as initial steps— 
(A) expand Medicare eligibility to allow 
every individual who is aged 40 to 64 and not 
a full-benefit Medicaid enrollee to buy into 
Medicare; 
(B) offer Medicare on the individual mar-
ket to all age groups; 
(C) allow employers to contribute money to 
the Medicare program and offer it as a health 
care benefit to their employees; and 
(D) offer Medicare on the Exchanges es-
tablished by the Patient Protection and Afford-
able Care Act; 
(6) after these initial steps, the Secretary of the 
Department of Health and Human Services should 
conduct an assessment to evaluate how many indi-
viduals remain outside of the Medicare system and 
their reasons for declining enrollment; 
(7) the Secretary should use the findings of the 
assessment to determine how the Medicare program 
can be extended to the remaining individuals to en-
roll; 
VerDate Sep 11 2014 
22:47 Jul 30, 2019
Jkt 089200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\HR532.IH
HR532
kjohnson on DSK79L0C42 with BILLS
•HRES 532 IH 
(8) Medicare coverage should be expanded to 
include all essential health benefits as outlined in the 
Patient Protection and Affordable Care Act; 
(9) the Department of Veterans Affairs will 
continue to have a role to play in providing quality 
health care and expertise to the Nation’s veterans; 
and 
(10) the Indian Health Service will continue to 
have a role to play in providing quality health care 
and expertise to Native Americans. 
Æ 
VerDate Sep 11 2014 
22:47 Jul 30, 2019
Jkt 089200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6301
E:\BILLS\HR532.IH
HR532
kjohnson on DSK79L0C42 with BILLS