Sec. 501. Full mental health and substance abuse treatment benefits parity. 
TITLE VI—LONG-TERM AND HOME HEALTH CARE 
Sec. 601. Studies and demonstration projects to identify model programs. 
TITLE VII—MISCELLANEOUS 
Sec. 701. Nonapplication of ERISA. 
Sec. 702. Sense of Congress regarding offsets. 
SEC. 2. FINDINGS. 
Congress makes the following findings: 
(1) The health of the American people is the 
foundation of American strength, productivity, and 
wealth. 
(2) The guarantee of health care coverage and 
access to quality medical care to all Americans is a 
fundamental right and is essential to the general 
welfare. 
(3) 
45,000,000 
Americans, 
more 
than 
8,400,000 of whom are children, have no health in-
surance. 
(4) The number of Americans receiving health 
care through their employers has decreased in recent 
years. 
(5) Health insurance coverage is unstable; less 
than 1⁄2 of all adults have been in their current 
health plan for 3 years. 
(6) The average American will hold at least 7 
jobs during their life, risking lack of health coverage 
every time they change or are between jobs.
(7) Annual health care expenditures in the 
United States total $1.6 trillion. 
(8) In the United States, personal health care 
spending grows 2.5 percent faster than the gross do-
mestic product. 
(9) Although the United States spends consid-
erably more in health care per person than any other 
nation at $5,400 per person, it ranks only fifteenth 
among countries worldwide on an overall index de-
signed to measure a range of health goals according 
to the World Health Organization. 
(10) One of 4 adults, about 40,000,000 people, 
say they have gone without needed medical care be-
cause they couldn’t afford it. 
(11) Half of all personal bankruptcy cases are 
due to medical reasons. 
(12) The average American worker is paying 
twice as much for family coverage than 10 years 
ago. 
(13) Because many individuals do not have 
health insurance coverage, they may incur health 
care costs which they do not fully reimburse, result-
ing in cost-shifting to others. 
(14) As a consequence of the piecemeal health 
care system in the United States, administrative
overhead costs approximately $1,059 per person an-
nually, while other Western industrialized nations 
with universal health care systems spend approxi-
mately $200 per person annually for administrative 
overhead. 
(15) The United States should adopt national 
goals of universal, affordable, comprehensive health 
insurance coverage and should provide generous 
matching grants to the States to achieve those goals 
within 5 years of the date of enactment of this Act. 
TITLE I—HEALTH SECURITY FOR 
ALL AMERICANS—EXPANSION 
PHASE (PHASE I) 
SEC. 101. EXPANSION PHASE (PHASE I) VOLUNTARY STATE 
UNIVERSAL HEALTH INSURANCE COVERAGE 
PLANS. 
The Social Security Act (42 U.S.C. 301 et seq.) is 
amended by adding at the end the following: 
‘‘TITLE XXII—HEALTH SECURITY 
FOR ALL AMERICANS 
‘‘PART A—EXPANSION PHASE (PHASE I) PLANS 
‘‘SEC. 2201. PURPOSE; VOLUNTARY STATE PLANS. 
‘‘(a) PURPOSE.—The purpose of this part is to pro-
vide funds to participating States to enable those States 
to ensure universal health insurance coverage by estab-
lishing State administered systems targeted to State resi-
dents with a family income that does not exceed 300 per-
cent of the poverty line. 
‘‘(b) EXPANSION
PHASE
(PHASE
I) PLAN
RE-
QUIRED.—A State is not eligible for a payment under sec-
tion 2205(a) unless the State has submitted to the Sec-
retary a plan that— 
‘‘(1) sets forth how the State intends to use the 
funds provided under this part to ensure universal, 
affordable, and comprehensive health insurance cov-
erage to eligible residents of the State consistent 
with the provisions of this part; and 
‘‘(2) has been approved under section 2202(d). 
‘‘SEC. 2202. PLAN REQUIREMENTS. 
‘‘(a) IN GENERAL.—Every expansion phase (phase I) 
plan shall include provisions for the following: 
‘‘(1) INFORMATION ON THE LEVEL OF HEALTH 
INSURANCE COVERAGE.— 
‘‘(A) The level of health insurance coverage 
within the State as determined under sub-
section (b). 
‘‘(B) The base coverage gap for the year 
involved as determined under subsection (b)(4). 
‘‘(C) State efforts to provide or obtain 
health insurance coverage for uncovered resi-