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S. 4490 116th Congress Senate

Make Billionaires Pay Act

Official title: A bill to impose an emergency tax on the increase in wealth of billionaires during the COVID-19 pandemic in order to pay for all of the out-of-pocket healthcar… Show full official titleShow less

Official title: A bill to impose an emergency tax on the increase in wealth of billionaires during the COVID-19 pandemic in order to pay for all of the out-of-pocket healthcare expenses of the uninsured and under-insured, including prescription drugs, for one year.

Introduced: August 6, 2020 Introduced by: Bernard Sanders Independent · Vermont See on congress.gov
Health Cardiovascular and respiratory healthCongressional oversightDebt collectionDrug therapy
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Emergency medical services and trauma careEmployee benefits and pensionsGovernment employee pay, benefits, personnel managementGovernment information and archivesHealth care costs and insuranceHealth care coverage and accessHealth care qualityHealth information and medical recordsHealth programs administration and fundingHome and outpatient careImmunology and vaccinationIndian social and development programsInfectious and parasitic diseasesMedical researchMedical tests and diagnostic methodsMedicareMilitary medicineMinority healthPrescription drugsProperty taxTax administration and collection, taxpayersVeterans' medical care
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 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Aug 6, 2020
Read twice and referred to the Committee on Finance.
Aug 6, 2020
Introduced in Senate
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 Latest action August 6, 2020

Read twice and referred to the Committee on Finance.

 Plain-English summary Congressional Research Service

Make Billionaires Pay Act

This bill establishes a tax on the wealth increases of individuals with more than $1 billion in net assets during the COVID-19 (i.e., coronavirus disease 2019) pandemic and requires the Department of Health and Human Services (HHS) to pay the out-of-pocket expenses of individuals receiving medically-necessary care or services for a period of one year.

First, the bill requires individuals with net assets of more than $1 billion on December 31, 2020, to pay a tax of 60% on the amount equal to the lesser of (1) the increase in value of their net assets during the period beginning on March 18, 2020, through such date, or (2) the value of their net assets that is greater than $1 billion. The Department of the Treasury must establish rules for the application of this tax to married individuals and this tax is not deductible for the purpose of federal income tax.

Further, the bill covers the costs for services provided through public or private health insurance and to uninsured individuals, including prescription drugs and care related to COVID-19, for a period of one year beginning on the date of enactment of this bill. Health insurance plans are prohibited from increasing the cost-sharing requirements of plans while this program is in effect and HHS must report to Congress on the program on a weekly basis.

 Related & companion bills 3
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
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APA
U.S. Congress. (2026). S. 4490: Make Billionaires Pay Act. 116th Congress. Open America. https://openamerica.io/bill/116-S-4490/
MLA
"S. 4490: Make Billionaires Pay Act." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-S-4490/.
Bluebook (legal)
S. 4490, 116th Cong. (2026), https://openamerica.io/bill/116-S-4490/.
Markdown link
[S. 4490: Make Billionaires Pay Act](https://openamerica.io/bill/116-S-4490/)
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