I 
110TH CONGRESS 
1ST SESSION H. R. 2034 
To provide quality, affordable health care for all Americans. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 25, 2007 
Mr. DINGELL (for himself, Mr. RANGEL, Mr. WAXMAN, Mr. STARK, Ms. 
SCHAKOWSKY, Mr. MARKEY, Mr. WYNN, Ms. BALDWIN, Mr. TOWNS, Ms. 
SOLIS, Mr. ENGEL, Mr. GENE GREEN of Texas, and Mr. DOYLE) intro-
duced the following bill; which was referred to the Committee on Ways 
and Means, and in addition to the Committees on Energy and Commerce 
and Oversight and Government Reform, for a period to be subsequently 
determined by the Speaker, in each case for consideration of such provi-
sions as fall within the jurisdiction of the committee concerned 
A BILL 
To provide quality, affordable health care for all Americans. 
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’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Medicare for all. 
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‘‘TITLE XXII—MEDICARE FOR ALL 
‘‘Sec. 2201. Quality health care for all Americans. 
‘‘Sec. 2202. Eligibility, enrollment, and coverage. 
‘‘Sec. 2203. Benefits. 
‘‘Sec. 2204. Choice of coverage under private health care delivery systems. 
‘‘Sec. 2205. Medicare for All Trust Fund. 
‘‘Sec. 2206. Administration. 
Sec. 3. Financing through employment tax. 
Sec. 4. Collectively bargained plans. 
SEC. 2. MEDICARE FOR ALL. 
(a) ESTABLISHMENT OF PROGRAM.—The Social Se-
curity Act is amended by adding at the end the following: 
‘‘TITLE XXII—MEDICARE FOR ALL 
‘‘SEC. 2201. QUALITY HEALTH CARE FOR ALL AMERICANS. 
‘‘The program under this title— 
‘‘(1) ensures that all Americans have high qual-
ity, affordable health care; 
‘‘(2) ensures that all Americans have access to 
health care as good as their Member of Congress re-
ceives; and 
‘‘(3) reduces the cost of health care and en-
hances American economic competitiveness in the 
global marketplace. 
‘‘SEC. 2202. ELIGIBILITY, ENROLLMENT, AND COVERAGE. 
‘‘(a) ELIGIBILITY.— 
‘‘(1) IN GENERAL.—Each eligible individual is 
entitled to benefits under the program under this 
title. 
‘‘(2) ELIGIBLE INDIVIDUAL.— 
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‘‘(A) IN GENERAL.—For purposes of this 
title, the term ‘eligible individual’ means an in-
dividual who— 
‘‘(i) is— 
‘‘(I) a citizen of the United 
States; or 
‘‘(II) a person who is lawfully 
present in the United States; and 
‘‘(ii) is not eligible for benefits under 
part A or B of title XVIII. 
‘‘(B) LAWFULLY PRESENT.—For purposes 
of subparagraph (A)(i)(II), a person is lawfully 
present in the United States if such person— 
‘‘(i) is described in section 431 of 
Public Law 104–193; 
‘‘(ii) is described in section 103.12 of 
title 8, Code of Federal Regulations (as in 
effect as of the date of enactment of the 
Medicare for All Act); 
‘‘(iii) is eligible to apply for employ-
ment authorization from the Department 
of Homeland Security as listed in section 
274a.12 of title 8, Code of Federal Regula-
tions (as in effect as of the date of enact-
ment of the Medicare for All Act); or 
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‘‘(iv) is otherwise determined to be 
lawfully present in the United States under 
criteria established by the Secretary, in 
consultation with the Secretary of Home-
land Security. 
‘‘(3) PHASE-IN OF ELIGIBILITY.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graphs (B) and (C), under rules established by 
the Secretary, eligibility for benefits under this 
title shall be phased-in as follows: 
‘‘(i) During the first 2 years the pro-
gram under this title is in operation, eligi-
ble individuals who are under 25 years of 
age or who are over 55 years of age are el-
igible for such benefits. 
‘‘(ii) During the second 2 years the 
program under this title is in operation, el-
igible individuals who are under 35 years 
of age or who are over 45 years of age are 
eligible for such benefits. 
‘‘(iii) All eligible individuals are eligi-
ble for such benefits beginning with the 
fifth year in which the program under this 
title is in operation. 
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‘‘(B) NO AGING OUT OF BENEFITS DURING 
PHASE-IN.—Once an individual is eligible for 
benefits under this title, the individual shall 
continue to be so eligible as long as the indi-
vidual is an eligible individual (as defined in 
paragraph (2)). 
‘‘(C) ELIGIBILITY OF IMMEDIATE FAMILY 
MEMBERS DURING PHASE-IN.—If an individual 
is eligible for benefits under this title, each 
member of such individual’s immediate family 
shall be eligible for such benefits if that imme-
diate family member is an eligible individual (as 
defined in paragraph (2)). 
‘‘(b) ENROLLMENT.— 
‘‘(1) IN GENERAL.—The Secretary shall estab-
lish a process under which each eligible individual is 
deemed to be enrolled under the program under this 
title. Such process shall include the following: 
‘‘(A) Enrollment of family members at the 
same time and using a common form. 
‘‘(B) Deemed enrollment of an eligible in-
dividual upon birth in the United States. 
‘‘(C) Enrollment of eligible individuals at 
the time of immigration into the United States. 
‘‘(2) ISSUANCE OF CARD.— 
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