Healthcare Reform Proposals
A number of proposals to expand access to affordable healthcare will be introduced and debated in the 116th Congress. This includes “universal healthcare” proposals to expand public healthcare options. Disability advocates must continue to educate Congress about the services that people with disabilities need – long-term services and supports (LTSS), particularly Home and Community Based Services (HCBS) – to ensure they are included in any healthcare proposals being considered.
For the last several years, the disability community has fought attempts by Congress to cut Medicaid and repeal the Affordable Care Act (ACA). In the 116th Congress (that began in Jan. 2019), we expect to see both the Senate and House introduce universal healthcare proposals expanding the public healthcare options for all Americans. So far, these bills have ranged from “Medicare for All” to Medicaid Buy-in programs. A discussion about improving access to healthcare is underway. At the same time, the ACA continues to be at-risk, and even with the ACA, millions remain uninsured, and costs and deductibles can remain unaffordable for those with coverage.
In the 116th Congress
- Medicare for All
- Keeping Health Insurance Affordable Act of 2019 (S 3) introduced by Sen. Ben Cardin
- Medicare at 50 Act (S 470) introduced by Sen. Debbie Stabenow
- Medicare Buy-In and Health Care Stabilization Act of 2019 (H.R. 1346) introduced by Rep. Brian Higgins
- State Public Option Act (S 489/HR 1277)
Kaiser Family Foundation tool to Compare Medicare-for-all and Public Plan Proposals
Key proposals and bills in the last Congress
- Medicare for All (House and Senate): single payer system proposed, (S.1804, H.R. 676 in the 115th Congress)
- Medicare for America (House): expanded federal program with private employer insurance (H.R. 7339 in the 115th Congress)
- Medicaid Buy-in (House and Senate): option for additional people to buy into Medicaid through the ACA marketplace proposed in the 115th (S. 2001, H.R. 4129 in the 115th Congress).
- Medicare expansion (House and Senate): lowering age to qualify for Medicare with buy-in (S. 1742, H.R. 3748 in the 115th Congress)
CCD Disability Principles for Inclusion of Long Term Service and Supports (LTSS) in Universal Health Care, Consortium for Citizens with Disabilities
Medicare-for-All and Public Plan Buy-In Proposals: Overview and Key Issues, Kaiser Family Foundation (10/9/18)
Primer on the Medicare-for-all Debate, Kaiser Family Foundation (2/19/19)
The Only Guide to ‘Medicare for All’ That You Will Ever Need, Splinter (2/14/19)
Bernie Sanders’ New Medicare for All Bill Goes Even Further than Before, ThinkProgress (4/10/19)
The Many Varieties of Universal Coverage, Commonwealth Fund (4/12/19) – includes international systems for comparison
The Landscape of Federal and State Healthcare Buy-In Models, Manatt (Feb. 19)
Single Payer Getting More Attention at State Level, Not Going Away, HealthLeaders (7/18/18)