Comparison of Conyers and Sanders/McDermott Bills
Length of Bill
HR 676 (Conyers Bill) - United States National Health Insurance Act (Expanded and Improved Medicare for All Act) 29 pages
S 703 (Sanders Bill)/HR 1200 (McDermott Bill) - American Health Security Act
National program. Secretary of HHS appoints. Director who appoints Regional Directors for each of the current Medicare regions. State Deputy Directors appointed by Governors.
Program administered by States in accordance with national standards and under the direction of the Secretary of HHS. State plans must be approved by the American Health Security
All residents of U.S. or territories
Primary care, preventive care, inpatient, outpatient and emergency care, prescription drugs, durable medical equipment, long term care,
mental health and substance abuse services, non-cosmetic dentistry, chiropractic services, basic vision care and correction. Must be public or not-for-profit, including staff-model HMOs. Owners of investor-owned providers will be compensated through 15-year government buy- out. Global budget for institutions, fee- for-service for individual providers
Standards Board. States failing to follow guidelines can be put into receivership. All citizens and lawful aliens (States may extend benefits to others). Primary care, preventive care, inpatient, outpatient and emergency care, prescription drugs, durable medical equipment, long term care, mental health and substance abuse services, outpatient therapies, ambulance services. Any licensed provider
Global budgets for institutions, fee-for-service for individual
Payment to Providers
salaries to providers employed by global budget institutions, capitation to some institutions set by Director.
providers, and global budgets or capitation to other institutions such as designated
Comprehensive Health Service Organizations set in each State.