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H.R. 5010 116th Congress House

State-Based Universal Health Care Act of 2019

Official title: To amend title I of the Patient Protection and Affordable Care Act to authorize the establishment of, and provide support for, State-based universal health car… Show full official titleShow less

Official title: To amend title I of the Patient Protection and Affordable Care Act to authorize the establishment of, and provide support for, State-based universal health care systems that provide comprehensive health benefits to State residents, and for other purposes.

Introduced: November 8, 2019 Introduced by: Ro Khanna Democratic · California See on congress.gov
Health Administrative law and regulatory proceduresAdvisory bodiesChild healthComprehensive health care
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Congressional oversightDepartment of Health and Human ServicesEmployee benefits and pensionsFederal-Indian relationsGovernment employee pay, benefits, personnel managementHealth care costs and insuranceHealth care coverage and accessHealth care qualityHealth programs administration and fundingHealth promotion and preventive careIncome tax creditsIndian social and development programsMedicaidMedicareMinority healthState and local financeState and local government operations
This bill died when the 116th Congress ended
It never became law before the 116th Congress (2019–2020) 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 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Nov 12, 2019
Referred to the Subcommittee on Health.
Nov 8, 2019
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Oversight and Reform, Armed Services, and Education and Labor, 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.
Nov 8, 2019
Introduced in House
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 Latest action November 12, 2019

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

State-Based Universal Health Care Act of 2019

This bill establishes the option for states, or groups of states, to apply to waive certain federal health insurance requirements and provide residents with health insurance benefits plans through a state-administered program. Such programs must cover 95% of the residents in the state within five years and plan benefits must be at least as comprehensive and affordable as the coverage under the equivalent federal program.

State programs are supported with funds from the federal programs the state programs replace, which may include Medicare, Medicaid, the Children's Health Insurance Program, the Federal Employee Health Benefits program, certain federal tax credits, and premium-assistance funds, among others.

The bill requires the Department of Health and Human Services to appoint an Independent Assessment Panel for Comprehensive Care to review and recommend whether to approve state applications. Each approved state program must be independently reviewed every five years to evaluate changes in health benefits access, quality, and coverage, including whether the state has met the 95% coverage requirement.

The federal government must pay all health insurance costs for American Indians and Alaska Natives who enroll in a plan through a state insurance program.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 6
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APA
U.S. Congress. (2026). H.R. 5010: State-Based Universal Health Care Act of 2019. 116th Congress. Open America. https://openamerica.io/bill/116-HR-5010/
MLA
"H.R. 5010: State-Based Universal Health Care Act of 2019." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-HR-5010/.
Bluebook (legal)
H.R. 5010, 116th Cong. (2026), https://openamerica.io/bill/116-HR-5010/.
Markdown link
[H.R. 5010: State-Based Universal Health Care Act of 2019](https://openamerica.io/bill/116-HR-5010/)
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