Medicare for All Act

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The Medicare for All Act (abbreviated M4A), also known as the Expanded and Improved Medicare for All Act or United States National Health Care Act, is a bill first introduced in the United States House of Representatives by Representative John Conyers (D-MI) in 2003, with 38 co-sponsors. Conyers reintroduced the bill every year until he resigned in 2017, always as HR 676. In 2019, the original proposal was renumbered, and Pramila Jayapal (D-WA) introduced a new, broadly similar, but more detailed, version of the bill, then HR 1384 in the 116th Congress. Most recently, Jayapal reintroduced the bill in the 119th Congress. As of June 22, 2026, it has 114 co-sponsors in the House, or 53.8% of House Democrats. The act would establish a universal single-payer national health insurance system in the United States, the rough equivalent of Canada's Medicare and Taiwan's Bureau of National Health Insurance, among other examples. Under a single-payer system, most medical care would be paid for by...

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