,,iv  #aaf? ,,congress  #a/ ,session    
,h4 ,,res4 #ecb  ,,9 ,,! ,,h\se ,,(     
,,repres5tatives  ,july #cj1 #bjai,ms4  
,l(gr5 submitt$ ! foll[+ resolution2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 ,natural ,res\rces1 &
 ,vet]ans' ,affairs1 = a p]iod to be    
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,,resolution  ,propos+ a       
/rategy to make ,m$ic>e available to all
 ,am]icans4  ,:]eas ! ,unit$ ,/ates     
sp5ds m money p] capita on heal? c>e ?an
 any o!r indu/rializ$ nation2 ,:]eas #hj
 p]c5t ( adults are dissatisfi$ ) !     
total co/ ( heal? c>e 9 ! c\ntry2 ,:]eas
 #gg p]c5t ( ,am]icans are conc]n$ t    
ris+ heal? c>e co/s w damage ! ,am]ican 
economy2 ,:]eas #fh p]c5t ( ,am]icans   
support a national heal? c>e plan2      
,:]eas ! rate ( un9sur$ individuals is  
at a #d-ye> high ( #ac4g p]c5t2 ,:]eas  
,m$ic>e is consi/5tly rat$ ! mo/ popul> 

& effici5t heal? insurance sy/em 9 !    
c\ntry2 ,:]eas #ij p]c5t ( adults ag$   
#fe & old]1 ) mo/ adults 9 ?is gr\p     
qualify+ = ,m$ic>e1 rate bo? _! c>e &   
cov]age positively2 ,:]eas private heal?
 insurance cov]age cont9ues to be m     
preval5t ?an gov]nm5t cov]age1 at #fg4b 
p]c5t & #cg4g p]c5t1 respectively2      
,:]eas employ]-bas$ insurance 0 ! mo/   
common subtype ( private heal? insurance
 cov]age1 at #ef p]c5t2 ,:]eas #hj p]c5t
 ( adults rate ! quality ( heal? c>e    
receiv$ z excell5t or good2 ,:]eas #fi  
p]c5t ( adults rate _! heal? c>e cov]age
 z excell5t or good2 & ,:]eas #fj p]c5t 
( ,am]icans believe x is ! ,f$]al       
,gov]nm5t's responsibility to ensure    
heal? c>e cov]age3 ,n[1 !re=e1 be x  ,t 
x is ! s5se ( ! ,h\se ( ,repres5tatives 
t-- 7#a7 mak+ ,m$ic>e an available      
insurance plan = all ,am]icans %\ld be a
 unifi$ goal despite diff]5ces 9 propos$
 /rategies to a*ieve x2  7#b7 !         
complexity ( ! exi/+ heal? c>e sy/em 9 !
 ,unit$ ,/ates %\ld be consid]$2  7#c7 !

 desire ( individuals to reta9 ! ability
 to *oose _! heal? c>e %\ld be consid]$2
  7#d7 a s]i\s ef=t to *ange ! heal? c>e
 sy/em w require ye>s ( "w2  7#e7 a     
transition plan to rea* ?is goal        
promptly c\ld1 z initial /eps--  7,a7   
exp& ,m$ic>e eligibility to all[ e      
individual :o is ag$ #dj to #fd & n a   
full-b5efit ,m$icaid enrollee to buy    
into ,m$ic>e2  7,b7 (f] ,m$ic>e on !    
individual m>ket to all age gr\ps2  7,c7
 all[ employ]s to contribute money to ! 
,m$ic>e program & (f] x z a heal? c>e   
b5efit to _! employees2 &  7,d7 (f]     
,m$ic>e on ! ,ex*anges e/abli%$ by !    
,pati5t ,protection & ,af=dable ,c>e    
,act2  7#f7 aft] ^! initial /eps1 !     
,secret>y ( ! ,dep>tm5t ( ,heal? &      
,human ,s]vices %\ld conduct an         
assessm5t to evaluate h[ _m individuals 
rema9 outside ( ! ,m$ic>e sy/em & _!    
reasons = decl9+ enrollm5t2  7#g7 !     
,secret>y %\ld use ! f9d+s ( ! assessm5t
 to det]m9e h[ ! ,m$ic>e program c be   
ext5d$ to ! rema9+ individuals to       

enroll2  7#h7 ,m$ic>e cov]age %\ld be   
exp&$ to include all ess5tial heal?     
b5efits z outl9$ 9 ! ,pati5t ,protection
 & ,af=dable ,c>e ,act2  7#i7 !         
,dep>tm5t ( ,vet]ans ,affairs w cont9ue 
to h a role to play 9 provid+ quality   
heal? c>e & exp]tise to ! ,nation's     
vet]ans2 &  7#aj7 ! ,indian ,heal?      
,s]vice w cont9ue to h a role to play 9 
provid+ quality heal? c>e & exp]tise to 
,native ,am]icans4