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U.S. House Bill 676
Single-Payer Health Care,
Improved Medicare for All.
1 plan; 1 payer
... and ...
the Health Security Act:
U.S. Senate Bill 915 / U.S. House Bill 1200
50 or more plans; 50 or more payers

Senate Bill 915 was for a previous session of Congress

Go to the Bernie Sanders' page for
coverage of the 115th session (2017-2018)
and for expectations about the 116th session (2019-2020)


As indicated by the comparison below, 1 national health insurance plan is better than multiple state insurance plans: better than the 51 (including D.C.) or more plans with the potential addition of up to 5 more plans for the 5 U.S. territories. The latter, the Health Security Act, is proposed by Senate bill S.915 and House bill H.R. 1200

H.R. 676
No companion bill in the U.S. Senate
S. 915
Companion bill: H.R. 1200 in the U.S. House
Sponsor: Rep. John Conyers
The number of supporters of Improved Medicare for All via single-payer health care with one plan has been in the range of 80-90 among 435.
Support level: about 20% or less
Sponsor: Senator Bernie Sanders
Number of cosponsors in range of 0-10 among 100
Support level: less than 10%
1 plan: one national health insurance plan for all residents
50-56 plans: fifty state health insurance plans, plus possibly D.C. and each territory, for all citizens and lawful aliens
Highest efficiency and productivity:
One administration organization
Takes advantage of the existing Medicare administration already in place. Can be set up and needs to be set up to be isolated from the U.S. legislators day-to-day decision-making, influenced by the people instead of by corporate lobbyists.
Lower efficiency and productivity:
Fifty or more administrative organizations in addition to the national administrative organization. Fifty sets of legislators involved plus the U.S. legislators.
Bill H.R. 676 with explanations.

Just the bill, without explanations:
29 page bill; go here and select “Printer Friendly Display”

172 page bill; go here and select “Printer Friendly Display”


To: Supporters of single-payer health care improved Medicare for All:

decide that you support both bills in Congress

or don’t settle for anything less than one plan, as per Improved Medicare for All via H.R. 676



Additional Information

H.R. 1200 is sponsored by Representative J. McDermott.

Cosponsors' support in the 7 sessions of Congress previous to 2007-2008: 90, 58, 27, 21, 28, 44, 62 members of the U.S. House among the 435 members. Summary: an average number of supporters of 47 per two-year session of the U.S. House prior to 2007.

Support in U.S. House at the end of 2007-2008: 17 cosponsors among 435.

Support in U.S. House at the end of 2009-2010: 8 cosponsors among 435

Support in U.S. House as of 3/23/2012: 11 cosponsors.

Comparison (pdf) of Conyers and Sanders/McDermott Bills provided by PNHP, Physicians for National Health Program

Comments about S. 915 (S.703) by the Healthcare-Now Staff and Steering Committee. Excerpts: “HR 676 builds on the existing structure of Medicare, which should allow for an easier, quicker, and less expensive transition to universal single-payer. Also, the taxing structure set up in 676 is preferable …” 


S.915, the American Health Security Act; Select “Printer Friendly Display” to see the text


  • ” … to be administered by the individual States …” and ” … ‘State’ means each of the 50 States and the District of Columbia.”
  • and “If the Governor of Puerto Rico, the Virgin Islands, Guam, American Samoa, or the Northern Mariana Islands certifies to the President that the legislature of the Commonwealth or territory has enacted legislation desiring that the Commonwealth or territory be included …”
Support in U.S. Senate in 2007-2008:
Support in U.S. Senate in as of 11/30/2011: no cosponsors



Learn more about the basis for the best health-care-for-all system

Contents with explanations regarding H.R. 676.


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Universal Health Care, Improved Medicare for All as per U.S. House Resolution 676
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