I 
117TH CONGRESS 
1ST SESSION H. R. 1976 
To establish an improved Medicare for All national health insurance program. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 17, 2021 
Ms. JAYAPAL (for herself, Ms. ADAMS, Ms. BARRAGA´N, Ms. BASS, Mr. 
BEYER, Mr. BLUMENAUER, Ms. BONAMICI, Mr. BOWMAN, Mr. BRENDAN 
F. BOYLE of Pennsylvania, Mr. BROWN, Ms. BUSH, Mr. CARBAJAL, Mr. 
CA´RDENAS, Mr. CARSON, Mr. CARTWRIGHT, Ms. CHU, Mr. CICILLINE, 
Ms. CLARK of Massachusetts, Ms. CLARKE of New York, Mr. CLEAVER, 
Mr. COHEN, Mr. DEUTCH, Mr. DANNY K. DAVIS of Illinois, Mr. DEFA-
ZIO, Ms. DEGETTE, Mr. DESAULNIER, Mrs. DINGELL, Mr. DOGGETT, 
Mr. MICHAEL F. DOYLE of Pennsylvania, Ms. ESCOBAR, Mr. ESPAILLAT, 
Ms. LOIS FRANKEL of Florida, Mr. GALLEGO, Mr. GARCI´A of Illinois, 
Mr. GOMEZ, Mr. GREEN of Texas, Mr. GRIJALVA, Mr. HARDER of Cali-
fornia, Mr. HASTINGS, Mrs. HAYES, Mr. HIGGINS of New York, Mr. 
HUFFMAN, Ms. JACKSON LEE, Ms. JACOBS of California, Mr. JEFFRIES, 
Mr. JOHNSON of Georgia, Mr. JONES, Mr. KAHELE, Mr. KEATING, Ms. 
KELLY of Illinois, Mr. KHANNA, Mr. KILDEE, Mrs. KIRKPATRICK, Mr. 
LANGEVIN, Mrs. LAWRENCE, Ms. LEE
of California, Ms. LEGER 
FERNANDEZ, Mr. LEVIN of Michigan, Mr. LEVIN of California, Mr. LIEU, 
Mr. LOWENTHAL, Mrs. CAROLYN B. MALONEY of New York, Mr. 
MCGOVERN, Mr. MCNERNEY, Mr. MEEKS, Ms. MENG, Mr. NADLER, 
Mrs. NAPOLITANO, Mr. NEGUSE, Ms. NEWMAN, Ms. NORTON, Ms. 
OCASIO-CORTEZ, Ms. OMAR, Mr. PANETTA, Mr. PAYNE, Mr. PERL-
MUTTER, Ms. PINGREE, Mr. POCAN, Ms. PORTER, Ms. PRESSLEY, Mr. 
RASKIN, Ms. ROYBAL-ALLARD, Mr. RUSH, Mr. SABLAN, Ms. SA´NCHEZ, 
Mr. SARBANES, Ms. SCHAKOWSKY, Mr. SCHIFF, Mr. SCOTT of Virginia, 
Mr. SHERMAN, Mr. SMITH of Washington, Ms. SPEIER, Mr. SWALWELL, 
Mr. TAKANO, Mr. THOMPSON of Mississippi, Mr. THOMPSON of Cali-
fornia, Ms. TITUS, Ms. TLAIB, Mr. TONKO, Mr. TORRES of New York, 
Mrs. TRAHAN, Mr. VARGAS, Mr. VEASEY, Ms. VELA´ZQUEZ, Ms. WATERS, 
Mrs. WATSON COLEMAN, Mr. WELCH, Ms. WILD, Ms. WILLIAMS of Geor-
gia, Ms. WILSON of Florida, Mr. YARMUTH, Mr. PALLONE, and Mr. 
PRICE of North Carolina) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce, and in addition to 
the Committees on Ways and Means, Education and Labor, Rules, Over-
sight and Reform, Armed Services, and the Judiciary, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
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of such provisions as fall within the jurisdiction of the committee con-
cerned 
A BILL 
To establish an improved Medicare for All national health 
insurance program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Medicare for All Act of 2021’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—ESTABLISHMENT OF THE MEDICARE FOR ALL 
PROGRAM; UNIVERSAL COVERAGE; ENROLLMENT 
Sec. 101. Establishment of the Medicare for All Program. 
Sec. 102. Universal coverage. 
Sec. 103. Freedom of choice. 
Sec. 104. Non-discrimination. 
Sec. 105. Enrollment. 
Sec. 106. Effective date of benefits. 
Sec. 107. Prohibition against duplicating coverage. 
TITLE II—COMPREHENSIVE BENEFITS, INCLUDING PREVENTIVE 
BENEFITS AND BENEFITS FOR LONG-TERM CARE 
Sec. 201. Comprehensive benefits. 
Sec. 202. No cost-sharing; other limitations. 
Sec. 203. Exclusions and limitations. 
Sec. 204. Coverage of long-term care services. 
TITLE III—PROVIDER PARTICIPATION 
Sec. 301. Provider participation and standards; whistleblower protections. 
Sec. 302. Qualifications for providers. 
Sec. 303. Use of private contracts. 
TITLE IV—ADMINISTRATION 
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