Updated: May 15, 2019

Several bills have been introduced in the 116^th Congress that would expand the role of public programs in health care. As more legislation is introduced, we will continue to update the side-by-side comparison tool. The bills range in scope from broad proposals to create a new national health insurance program for all residents to more incremental approaches that offer a public plan option in addition to current sources of coverage, private or public. These bills are grouped into five general categories:

• Medicare-for-all, a single national health insurance program for all U.S. residents:
  • Medicare for All Act of 2019 by Rep. Jayapal, H.R. 1384
  • Medicare for All Act of 2019 by Sen. Sanders, S. 1129
• A new national health insurance program for all U.S. residents with an opt out for qualified coverage:
  • Medicare for America Act of 2019 by Rep. DeLauro and Rep. Schakowsky, H.R. 2452
• A new public plan option that would be offered to individuals through the ACA marketplace:
  • Keeping Health Insurance Affordable Act of 2019 by Sen. Cardin, S. 3
  • Choose Medicare Act by Sen. Merkley, S. 1261 and Rep. Richmond, H.R. 2463
  • Medicare-X Choice Act of 2019 by Sen. Bennet and Sen. Kaine, S. 981 and Rep. Delgado, H.R. 2000
  • The CHOICE Act by Rep. Schakowsky, H.R. 2085 and Sen. Whitehouse, S. 1033
• A Medicare buy-in option for older individuals not yet eligible for the current Medicare program:
  • Medicare at 50 Act by Sen. Stabenow, S. 470
  • Medicare Buy-In and Health Care Stabilization Act of 2019 by Rep. Higgins, H.R. 1346
• A Medicaid buy-in option that states can elect to offer to individuals through the ACA marketplace:
  • State Public Option Act by Sen. Schatz, S. 489 and Rep. Luján, H.R. 1277.