(6) To finance the Service through progressive 
taxation of individuals and employer contributions, 
and to distribute these revenues on a capitation 
basis, supplemented by allocations to meet special 
health care needs. 
SEC. 4. DEFINITIONS. 
For the purposes of this Act, unless the context im-
plies otherwise: 
(1) 
HEALTH
CARE
FACILITY.—The 
term 
‘‘health care facility’’ means an administrative unit 
composed of specified staff, equipment, and premises 
and established by a health board as an appropriate 
unit of organization for the delivery of specified 
health care or supplemental services under this Act. 
(2) HEALTH
WORKER.—The term ‘‘health 
worker’’ includes— 
(A) any employee of the Service; and 
(B) any individual who for remuneration 
delivers, administers any program in, provides 
supporting services for, teaches the subject 
matter of, or performs research in, health care 
services. 
(3) INDIRECT PROVIDER OF HEALTH CARE.— 
The term ‘‘indirect provider of health care’’ means 
an individual who—
(A) receives (either directly or through his 
or her spouse) more than 1⁄10 of his or her 
gross annual income from any one or combina-
tion of— 
(i) fees or other compensation for pro-
vision of, research into, or instruction in, 
the provision of health care, 
(ii) entities engaged in the provision 
of health care or in such research or in-
struction, 
(iii) producing or supplying drugs, 
medical equipment, or other articles for in-
dividuals or entities for use in the provi-
sion of or in research into or instruction in 
the provision of health care, or 
(iv) entities engaged in producing 
drugs, medical equipment, or such other 
articles; 
(B) holds a fiduciary position with, or has 
a fiduciary interest in, any entity described in 
clause (ii) or (iv) of subparagraph (A); or 
(C) is engaged in issuing any policy or con-
tract of individual or group health insurance or 
hospital or medical service benefits.
(4) NATIONAL
HEALTH
BOARD.—The term 
‘‘National Health Board’’ means the National 
Health Board of the Service. 
(5) SERVICE.—The term ‘‘Service’’ means the 
United States Health Service established in section 
101. 
(6) SERVICE-RELATED TERMS.— 
(A) HEALTH CARE SERVICES.—The term 
‘‘health care services’’ means the services de-
scribed in paragraphs (1) through (5) of section 
213(a). 
(B) SUPPLEMENTAL SERVICES.—The term 
‘‘supplemental services’’ means the services de-
scribed in paragraphs (1), (2), and (3) of sec-
tion 213(b). 
(7) USER.—The term ‘‘user’’ means an indi-
vidual who is eligible under section 211 to receive 
health care services from the Service under this Act. 
TITLE I—ESTABLISHMENT AND 
OPERATION OF THE UNITED 
STATES HEALTH SERVICE 
SEC. 101. ESTABLISHMENT OF THE SERVICE. 
(a) IN GENERAL.—There is established, as an inde-
pendent establishment of the executive branch of the 
United States, the United States Health Service.
(b) AUTHORITY.— 
(1) NATIONAL HEALTH BOARD.—The authority 
of the Service shall be exercised by the National 
Health Board and, in accordance with this Act and 
guidelines established by such Board, by local and 
regional authorities affiliated with the Board. 
(2) EMINENT DOMAIN AUTHORITY.—The Serv-
ice shall have the authority, under the power of emi-
nent domain, to acquire by condemnation under ju-
dicial process real estate for the Service for public 
purposes whenever it is necessary or advantageous 
to do so. 
(c) ADMINISTRATION.—The Board shall implement 
administrative measures as necessary to assure the equi-
table distribution and allocation of health care resources 
and services. 
(d) ACCOUNTABILITY AND CONTROL.—The Board 
shall establish mechanisms to assure accountable, rep-
resentative and democratic governance of the Service and 
of health care facilities by health care users and workers, 
with limits on conflicts of interest as described in this Act.
SEC. 102. APPOINTMENT OF THE NATIONAL HEALTH 
BOARD. 
The President shall, no later than 30 days after the 
date of the enactment of this Act, appoint 21 individ-
uals— 
(1) who are 18 years of age or older; 
(2) who are concerned about the health care 
problems of the Nation; 
(3) who approximate the Nation’s population by 
race, sex, income, language, and region of residence, 
and approximate the percentage of rural and fron-
tier populations; and 
(4) no more than seven of whom are or have 
been health workers, indirect providers of health 
care, or members of the immediate family of such 
workers or indirect providers within 24 months of 
the date of such nomination, to serve as members of 
the National Health Board of the Service. 
SEC. 103. POWERS AND DUTIES OF THE NATIONAL HEALTH 
BOARD. 
The National Health Board shall— 
(1) establish the boundaries of health care de-
livery regions, in accordance with section 107; 
(2) establish procedures for creating local and 
regional authorities within each health care delivery 
region, to oversee and administer the delivery of