Bill Blueprint

Universal Healthcare for All Bill (2027) - Adam Neil Arafat for Congress

Universal Healthcare for All Bill (2027). Clear standards, transparent steps, and quick enforcement with public results.

At a Glance

Why it matters

This bill sets clear standards. It reduces gamesmanship. It gives the public a fair, timely, and enforceable process.

Will this slow down urgent work?

No. Urgent safety work and court ordered compliance continue with narrow and renewable certifications.

Is there new bureaucracy?

No. The approach is simple. It uses short certifications and public notice backed by independent checks.

Does this change taxes?

No. The focus is on standards, fairness, and better execution. Any costs are covered by savings and recovery of waste.

TITLE I - UNIVERSAL COVERAGE
SEC. 101. AUTOMATIC ENROLLMENT IN NATIONAL HEALTH PLAN.
Provides automatic enrollment for every U.S. resident into a national healthcare program that guarantees a core set of benefits.
Explanation:
Eliminates coverage gaps and ensures care is based on need, not employment or income.
SEC. 102. NATIONAL BENEFITS FLOOR.
Establishes a federally defined minimum benefits package including primary care, hospital care, maternity and reproductive services, prescription drugs, mental health, and preventive care. States may offer supplemental coverage above the floor.
Explanation:
Guarantees every American access to essential health services regardless of where they live.
TITLE II - DRUG COST REDUCTION
SEC. 201. EXPANSION OF MEDICARE NEGOTIATION AUTHORITY.
Extends Medicare’s power to negotiate drug prices to all payers under the national plan.
Explanation:
Uses nationwide bargaining power to cut drug costs without cutting benefits.
SEC. 202. ENDING PATENT GAMING.
Reforms FDA and USPTO rules to prevent “evergreening” and patent thickets that delay affordable generics.
Explanation:
Stops pharmaceutical companies from blocking competition to keep prices artificially high.
TITLE III - MENTAL HEALTH & PRIMARY CARE ACCESS
SEC. 301. MENTAL HEALTH PARITY ENFORCEMENT.
Mandates equal access, networks, and reimbursement for mental health services.
Explanation:
Ensures mental health is treated the same as physical health in coverage and funding.
SEC. 302. PRIMARY CARE AND WORKFORCE INVESTMENT.
Funds new clinics, mobile health units, and training programs for providers in shortage areas.
Explanation:
Expands local access to care and reduces long-term costs by catching problems early.
TITLE IV - HEALTH IN ALL POLICIES
SEC. 401. NATIONAL HEALTH METRICS.
Directs HHS, USDA, EPA, and OSHA to set shared national health goals tied to food, water, air, and workplace safety.
Explanation:
Aligns federal standards across agencies to improve public health outcomes.
TITLE V - FUNDING & DEFICIT NEUTRALITY
SEC. 501. HIGH-INCOME CONTRIBUTION ADJUSTMENTS.
Applies a progressive healthcare contribution on adjusted gross income above $400,000 (joint) / $200,000 (single), including investment income.
Explanation:
Protects working families while ensuring the wealthiest contribute fairly.
SEC. 502. COST SAVINGS REALLOCATION.
Dedicates savings from drug negotiations, administrative streamlining, and fraud reduction to fund expanded coverage.
Explanation:
Pays for the system with efficiency and fairness, not new taxes on the middle class.
Results & ROI
Universal Coverage:
Everyone is insured automatically, eliminating medical bankruptcy and uncompensated care costs.
Lower Costs:
Negotiated drug prices, streamlined billing, and preventive care reduce overall spending per person.
Healthier Population:
Early treatment and stronger mental health access improve outcomes and productivity.
Fair Funding:
Wealthy households contribute more, middle- and working-class families pay no new taxes.
Deficit Neutrality:
Savings and targeted contributions make the program sustainable without adding to the deficit.
Back to All Bills

  • Clear standards and faster resolution.
  • Lower waste and better outcomes.
  • Transparent processes that the public can see.
  • Enforceable duties with quick court review.
Back to All Bills