I 
109TH CONGRESS 
1ST SESSION H. R. 3000 
To establish a United States Health Service to provide high quality com-
prehensive health care for all Americans and to overcome the deficiencies 
in the present system of health care delivery. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 20, 2005 
Ms. LEE introduced the following bill; which was referred to the Committee 
on Energy and Commerce, and in addition to the Committees on Edu-
cation and the Workforce and Ways and Means, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To establish a United States Health Service to provide high 
quality comprehensive health care for all Americans and 
to overcome the deficiencies in the present system of 
health care delivery. 
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 
‘‘Josephine Butler United States Health Service Act’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows:
Sec. 1. Short title; table of contents. 
Sec. 2. Findings. 
Sec. 3. Purposes. 
Sec. 4. Definitions. 
TITLE I—ESTABLISHMENT AND OPERATION OF THE UNITED 
STATES HEALTH SERVICE 
Sec. 101. Establishment of the Service. 
Sec. 102. Appointment of the National Health Board. 
Sec. 103. Powers and duties of the National Health Board. 
Sec. 104. Representation in local and regional authorities. 
Sec. 105. Public accountability and financial disclosure. 
Sec. 106. Inspector General. 
Sec. 107. Establishment of health care delivery regions. 
TITLE II—DELIVERY OF HEALTH CARE AND SUPPLEMENTAL 
SERVICES 
Subtitle A—Patients’ Rights in Health Care Delivery 
Sec. 201. Basic health rights. 
Sec. 202. Right to paid leave to receive health care services. 
Subtitle B—Eligibility for, Nature of, and Scope of Services Provided by the 
Service 
Sec. 211. Eligibility for services. 
Sec. 212. Entitlement to services. 
Sec. 213. Provision of health care and supplemental services. 
Subtitle C—Health Care Facilities and Delivery of Health Care Services 
Sec. 221. Establishment of health care facilities and distribution of delivery of 
health care and other services. 
Sec. 222. Operation and inspection of health care facilities. 
Sec. 223. Provision of health services relating to reproduction and childbearing. 
TITLE III—HEALTH LABOR FORCE 
Subtitle A—Job Categories and Certification 
Sec. 301. Effect of State law. 
Sec. 302. Qualifications of health workers. 
Sec. 303. Establishment of job categories and certification standards. 
Subtitle B—Education of Health Workers 
Sec. 311. Health team schools. 
Sec. 312. Service requirement. 
Sec. 313. Payment for certain educational loans. 
Subtitle C—Employment and Labor-Management Relations Within the Service 
Sec. 321. Employment, transfer, promotion, and receipt of fees. 
Sec. 322. Applicability of laws relating to Federal employees. 
Sec. 323. Applicability of Federal labor-management relations laws. 
Sec. 324. Defense of certain malpractice and negligence suits.
TITLE IV—OTHER FUNCTIONS OF HEALTH BOARDS 
Subtitle A—Advocacy, Grievance Procedures, and Trusteeships 
Sec. 401. Advocacy and legal services program. 
Sec. 402. Grievance procedures. 
Subtitle B—Occupational Safety and Health Programs 
Sec. 411. Functions of the National Health Board. 
Sec. 412. Community occupational safety and health activities. 
Sec. 413. Workplace health facilities. 
Sec. 414. Employee rights relating to occupational safety and health. 
Sec. 415. Definitions. 
Subtitle C—Health and Health Care Delivery Research, Quality Assurance, 
and Health Equity 
Sec. 421. Principles and guidelines for research. 
Sec. 422. Establishment of institutes. 
Subtitle D—Health Planning, Distribution of Drugs and Other Medical 
Supplies, and Miscellaneous Functions 
Sec. 431. Health planning and budgeting. 
Sec. 432. Distribution of drugs and other medical supplies. 
Sec. 433. Miscellaneous functions of the National Health Board. 
TITLE V—FINANCING OF THE SERVICE 
Subtitle A—Health Service Taxes 
Sec. 501. Individual and corporate income taxes. 
Sec. 502. Other changes in the Internal Revenue Code of 1986. 
Sec. 503. Existing employer-employee health benefit plans. 
Sec. 504. Workers compensation programs. 
Subtitle B—Health Service Trust Fund 
Sec. 511. Establishment of health service trust fund. 
Sec. 512. Transfer of funds to the health service trust fund. 
Sec. 513. Administration of health service trust fund. 
Subtitle C—Preparation of Plans and Budgets 
Sec. 521. Determination of fund availability. 
Sec. 522. Preparation of regional budgets. 
Subtitle D—Allocation and Distribution of Funds 
Sec. 531. National budget. 
Sec. 532. Special operating expense fund. 
Sec. 533. Distribution of funds. 
Sec. 534. Annual statement, records, and audits. 
Subtitle E—General Provisions 
Sec. 541. Issuance of obligations. 
Sec. 542. Definitions.
TITLE VI—MISCELLANEOUS PROVISIONS 
Sec. 601. Effective date of health services. 
Sec. 602. Repeal of provisions. 
Sec. 603. Transition provisions. 
Sec. 604. Amendment to Budget and Accounting Act. 
Sec. 605. Separability. 
SEC. 2. FINDINGS. 
The Congress makes the following findings: 
(1) The health of the Nation’s people is a foun-
dation of their well-being. 
(2) High quality health care is a right of all 
people. 
(3) Many of the Nation’s people are unable 
fully to exercise this right because of the inability of 
the present health care delivery system to make high 
quality health care available to all individuals re-
gardless of race, sex, age, national origin, income, 
marital status, sexual orientation, religion, political 
belief, place of residence, employment status, or pre-
vious health status. 
(4) The present health care system has failed to 
provide financial coverage for health care services 
for more than forty million Americans, and the per-
cent lacking such coverage grows each year. 
(5) The present health care system has failed to 
provide for sufficient effective preventive measures 
that would address the deterioration in occupational,
environmental, and social conditions affecting the 
health of the people of this Nation. 
(6) Unnecessary and excessive profits and ad-
ministrative expenses have inflated the cost of health 
care. 
(7) The growth of for profit medical care and 
for profit managed care is making it difficult for 
health care personnel to provide, and users to re-
ceive, the full range of health services they believe to 
be necessary, appropriate, and desirable. 
(8) The health professions have failed to control 
the cost of their services and the imbalance in the 
number of health workers among geographic areas 
or health care specialties. 
(9) The present health care system has failed to 
make full and efficient use of allied health workers. 
(10) A United States Health Service is the best 
means to implement the right to high quality health 
care and to overcome the deficiencies in the present 
health care delivery system. 
SEC. 3. PURPOSES. 
The purposes of this Act are as follows: 
(1) To create a United States Health Service to 
provide without charge to all residents, regardless of 
race, sex, age, national origin, income, marital sta-
tus, sexual orientation, religion, political belief, place 
of residence, employment status, or previous health 
status, comprehensive health care services delivered 
by salaried health workers and emphasizing the pro-
motion and maintenance of health as well as the 
treatment of illness. 
(2) To establish representative and democratic 
governance of the Service. 
(3) To provide health workers in the Service 
with fair and reasonable compensation, secure em-
ployment, opportunities for full and equal participa-
tion in the governance of health facilities, and oppor-
tunities for advancement without regard to race, sex, 
age, national origin, sexual orientation, religion, or 
political belief. 
(4) To increase the availability and continuity 
of health care by linking local health care facilities 
to hospitals and specialized care facilities. 
(5) To overcome present disparities in health 
and access to health care resources, especially for 
currently underserved innercity and rural popu-
lations, minority groups, prisoners, and occupational 
groups, by redistributing health care resources to 
underserved populations, and by enhancing public 
health and preventive health services.