Medicare for All Act

Comprehensive Benefits Without Cost-Sharing: Section 201 and Section 202 provide enrolled individuals with a wide array of medically necessary health services—ranging from hospital and primary care to prescription drugs, dental, vision, and long-term care—with no patient cost-sharing such as deductibles, coinsurance, or copayments, except for a limited evidence-based prescription drug schedule capped at $200 annually.

Immediate Coverage for Children: Section 106(b) ensures that eligible individuals under the age of 19 receive benefits under the Medicare for All Program starting on January 1 of the first calendar year following the date of enactment.

Protection Against High Out-of-Pocket Medicare Costs: Section 1001 adds Section 1899C to the Social Security Act, which sets a $1,500 annual cap on out-of-pocket cost-sharing for Medicare beneficiaries and eliminates parts A and B deductibles.

Guaranteed Issue of Medigap Policies: Section 1005 amends Section 1882 of the Social Security Act to prohibit issuers of Medicare supplemental policies from denying, conditioning, or discriminatorily pricing policies based on health status or medical condition.

Elimination of the Disability Waiting Period: Section 1004 eliminates the 24-month waiting period for Medicare coverage for individuals with disabilities under Section 226(b) of the Social Security Act.

Prohibition of Duplicative Private Insurance: Section 107 makes it unlawful for private health insurers to sell, or employers to provide, health insurance coverage that duplicates the benefits provided under the Medicare for All Program once full benefits become available.

Termination of Existing Health Exchanges: Section 902 terminates Federal and State Exchanges established under the Patient Protection and Affordable Care Act on the date full benefits become available, rendering any related provisions of law without force or effect.