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Expanded and Improved Medicare for All Act

Introduced: February 11, 2003 See on congress.gov
This bill died when the 108th Congress ended
It never became law before the 108th Congress (2003–2004) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jun 4, 2003
Sponsor introductory remarks on measure. (CR H4974-4975)
Mar 12, 2003
Referred to the Subcommittee on Health.
Mar 10, 2003
Referred to the Subcommittee on Health.
Feb 11, 2003
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Resources, and Veterans' Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Feb 11, 2003
Introduced in House
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 Plain-English summary Congressional Research Service
United States National Health Insurance Act (or the Expanded and Improved Medicare for All Act) - Establishes the United States National Health Insurance (USNHI ) Program (the Program), providing all individuals residing in the United States (including in U.S. territories) with health care. States benefits the Program shall offer, including: (1) primary care and prevention; (2) prescription drugs; (3) emergency care; and (4) mental health services.

Prohibits institutions from participating as health providers in the Program unless they are a public or nonprofit institution, and provides for conversions of investor-owned providers with compensation for real property and equipment.

Allows health maintenance organizations to participate in the Program under specified conditions. Permits patients to freedom of choice of participating physicians and other clinicians, hospitals, and inpatient care facilities. Prohibits a private health insurer from selling health insurance coverage that duplicates the benefits provided under this Act.

Declares that the Program shall establish a prescription drug formulary system, which shall encourage best practices in prescribing and shall be updated frequently.

Requires the Secretary of Health and Human Services to appoint a Director for the Program, who in turn shall appoint a director for an Office of Quality Control. Requires the director of the Office of Quality Control to conduct an annual review on the adequacy of medically needed services.

Establishes a National Board of Universal Quality and Access, which shall advise the Secretary and the Director to ensure quality, access, and affordability.

Provides for the eventual integration of the health programs of the Department of Veterans' Affairs and the Indian Health Service into the Program.

Declares that this Act shall take effect on January 1, 2005.

What's happening now June 4, 2003

Sponsor introductory remarks on measure. (CR H4974-4975)

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 7
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APA
U.S. Congress. (2026). H.R. 676: Expanded and Improved Medicare for All Act. 108th Congress. Open America. https://openamerica.io/bill/108-HR-676/
MLA
"H.R. 676: Expanded and Improved Medicare for All Act." 108th Congress, 2026, Open America, https://openamerica.io/bill/108-HR-676/.
Bluebook (legal)
H.R. 676, 108th Cong. (2026), https://openamerica.io/bill/108-HR-676/.
Markdown link
[H.R. 676: Expanded and Improved Medicare for All Act](https://openamerica.io/bill/108-HR-676/)
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