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Organizers' Toolkit

H. R. 676, "The United States National Health Insurance Act,"
Or "Expanded & Improved Medicare For All"

"Of all the forms of inequality,
injustice in health care is the most shocking and inhumane."
Dr. Martin Luther King, Jr.


Text of Bill  |   Legislative Status


In 2003, Representative Conyers first introduced HR 676, the United States National Health Insurance Act (USNHI). This bill would establish a unique American universal health insurance program with single payer financing. As a publicly financed, privately delivered health care system that improves and expands the already existing Medicare program, it would be available to all U.S. residents, and all residents living in U.S. territories.

The goal of the legislation is to ensure that all Americans will have access, guaranteed by law, to the highest quality and most cost effective health care services regardless of their employment, income or health care status. They would receive all medically necessary primary care, dental, mental health, prescription drugs, and long term care services by the physician of their choice, with no restrictions on what providers they could visit. With 47 million uninsured Americans, and another 50 million who are underinsured, the time has come to change our inefficient and costly fragmented non-system of health care.

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