Medicare for All
Creates universal coverage program run by the federal government.
Sponsors Sen. Bernie Sanders, Rep. Pramila Jayapal
Eligibility All US residents
Coverage All medically necessary services, including vision, dental and long-term care
Who pays? Taxpayers. Estimates run as high as $32 trillion over 10 years
Support from 2020 candidates
Cory Booker
Cosponsor
Kamala Harris
Cosponsor
Kirsten Gillibrand
Cosponsor
Amy Klobuchar
Cosponsor
Tim Ryan
Cosponsor
Eric Swalwell
Cosponsor
Michael Bennet
Cosponsor
Tulsi Gabbard
Cosponsor
Bernie Sanders
Sponsor
Elizabeth Warren
Cosponsor
Bill highlights
Private Insurance
None, except for elective procedures.
Cost-sharing
None, except up to $200 a year for prescription drugs in Senate version.
Prescription Drugs
Federal government can negotiate prices.
Federal subsidies
Not necessary.
Medicare buy-in
Allows younger Americans to buy Medicare-type plans.
Sponsors Sen. Debbie Stabenow, Rep. Brian Higgins
Eligibility People age 50-64
Coverage Medicare benefits, including outpatient care, hospitalization and prescription drugs
Who pays? Enrollees through premiums
Support from 2020 candidates
Cory Booker
Cosponsor
Kamala Harris
Cosponsor
Kirsten Gillibrand
Cosponsor
Amy Klobuchar
Cosponsor
Tim Ryan
Cosponsor
Eric Swalwell
Cosponsor
Michael Bennet
Cosponsor
Tulsi Gabbard
Cosponsor
Bernie Sanders
Sponsor
Elizabeth Warren
Cosponsor
Bill highlights
Private Insurance
Remains in place.
Cost-sharing
Has premiums, deductibles and copays. No annual limit on out-of-pocket costs for many.
Prescription Drugs
Federal government can negotiate prices for Medicare and buy-in plans.
Federal subsidies
ACA premium and cost-sharing aid for those who qualify.
Medicaid buy-in
Permits states to offer Medicaid-type plans.
Sponsors Sen. Brian Schatz, Rep. Ben Ray Luján
Eligibility Non-elderly residents in participating states who are not currently insured
Coverage State Medicaid benefits, which must include Affordable Care Act’s 10 essential health benefits
Who pays? Enrollees' premium payments, in part. Federal and state payments cover remainder
Support from 2020 candidates
Cory Booker
Cosponsor
Kamala Harris
Cosponsor
Kirsten Gillibrand
Cosponsor
Amy Klobuchar
Cosponsor
Tim Ryan
Cosponsor
Eric Swalwell
Cosponsor
Michael Bennet
Cosponsor
Tulsi Gabbard
Cosponsor
Bernie Sanders
Sponsor
Elizabeth Warren
Cosponsor
Bill highlights
Private Insurance
Remains in place.
Cost-sharing
States set premiums, which are capped at 9.5% of income, and out-of-pocket costs, which are subject to ACA limit.
Prescription Drugs
Medicaid already
regulates reimbursement.
Federal subsidies
ACA premium and cost-sharing aid for those who qualify.
Medicare for America
Creates federal universal coverage program, but retains employer insurance.
Sponsors Rep. Rosa DeLauro, Rep. Jan Schakowsky
Eligibility All US residents
Coverage All medically necessary services, including vision, dental and long-term care
Who pays? Enrollees through premiums. Also, taxpayers, states and employers, in some cases
Support from 2020 candidates
Cory Booker
Cosponsor
Kamala Harris
Cosponsor
Kirsten Gillibrand
Cosponsor
Amy Klobuchar
Cosponsor
Tim Ryan
Cosponsor
Eric Swalwell
Cosponsor
Michael Bennet
Cosponsor
Tulsi Gabbard
Cosponsor
Bernie Sanders
Sponsor
Elizabeth Warren
Cosponsor
Bill highlights
Private Insurance
Remains in place.
Cost-sharing
Has premiums, deductibles and copays. Annual limits on out-of-pocket costs.
Prescription Drugs
Federal government can negotiate prices.
Federal subsidies
Premium and cost-sharing aid for those who qualify.
Government-run options
These bills create a public insurance plan for the Affordable Care Act exchanges.For all government-run options
EligibilityAmericans buying coverage on the Affordable Care Act’s individual and small business exchanges
CoverageAffordable Care Act's 10 essential health benefits
Who pays?Enrollees' premium payments
Highlights for all bills
Private Insurance
Remains in place. Under Choose Medicare, employers could buy into public option for workers.
Cost-sharing
Has premiums, deductibles and out-of-pocket costs. ACA limit applies.
Prescription Drugs
Federal government can negotiate prices for public option and for Medicare.
Federal subsidies
ACA premium and cost-sharing aid available. Choose Medicare enhances subsidy program.
Choice Act
Sponsored by Rep. Jan Schakowsky, Sen. Sheldon WhitehouseSupport from 2020 candidates
Cory Booker
Cosponsor
Kamala Harris
Cosponsor
Kirsten Gillibrand
Cosponsor
Amy Klobuchar
Cosponsor
Tim Ryan
Sponsor
Eric Swalwell
Cosponsor
Michael Bennet
Cosponsor
Tulsi Gabbard
Cosponsor
Bernie Sanders
Sponsor
Elizabeth Warren
Cosponsor
Medicare X
Sponsored by Sen. Michael Bennet, Rep. Brian HigginsSupport from 2020 candidates
Cory Booker
Cosponsor
Kamala Harris
Cosponsor
Kirsten Gillibrand
Cosponsor
Amy Klobuchar
Cosponsor
Tim Ryan
Sponsor
Eric Swalwell
Cosponsor
Michael Bennet
Sponsor
Tulsi Gabbard
Cosponsor
Bernie Sanders
Sponsor
Elizabeth Warren
Cosponsor
Choose Medicare
Sponsored by Sen. Jeff Merkley, Rep. Cedric RichmondSupport from 2020 candidates
Cory Booker
Cosponsor
Kamala Harris
Cosponsor
Kirsten Gillibrand
Cosponsor
Amy Klobuchar
Cosponsor
Tim Ryan
Sponsor
Eric Swalwell
Cosponsor
Michael Bennet
Cosponsor
Tulsi Gabbard
Cosponsor
Bernie Sanders
Sponsor
Elizabeth Warren
Cosponsor