To amend the Social Security Act by establishing a Medicare Public Option. Expanding Medicare benefits to include dental, vision, and hearing, for universal coverage. Hereby known as Medicare Part E.
A BILL
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) SHORT TITLE.—This Act may be cited as the “One Body One Plan Act of 2029”.
(b) TABLE OF CONTENTS.—The table of contents for this Act is as follows:
- TITLE I—Expansion of Medicare Benefits
- TITLE II—Establishment of the Medicare Public Option
- TITLE III—Provider Participation and Price Neutrality
- TITLE IV—Financing and Solvency
TITLE I—EXPANSION OF MEDICARE BENEFITS
SEC. 101. COVERAGE OF DENTAL, VISION, AND HEARING SERVICES.
(a) DENTAL SERVICES.—Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended—
- in subsection (s)(2), by adding at the end the following:”(KK) dental and oral health services (as defined in subsection (lll));”
- by adding at the end the following new subsection:“(lll) Dental and Oral Health Services.—The term ‘dental and oral health services’ means. (1) Routine cleanings and exams. (2) Basic and major restorative services, including fillings, crowns, and root canals. (3) Emergency dental care and prosthetics, including dentures and implants.”
(b) VISION AND HEARING SERVICES.—Section 1861 is further amended to include coverage for annual vision exams, corrective lenses, hearing exams, and hearing aids (as prescribed) every 5 years.
TITLE II—ESTABLISHMENT OF THE MEDICARE PUBLIC OPTION
SEC. 201. ESTABLISHMENT OF MEDICARE PART E.
(a) IN GENERAL.—The Social Security Act is amended by inserting after Title XVIII the following new title:
“TITLE XIX—MEDICARE FOR ALL WHO WANT IT (PART E)”
- ELIGIBILITY.—Every individual who is a resident of the United States and a citizen or national of the United States shall be eligible to enroll in the plan established under this title.
- PREMIUMS.—The Secretary shall establish monthly premiums for individuals enrolled in Part E, subject to income-based subsidies as established in Section 202.
- ANNUAL OUT-OF-POCKET MAXIMUM.—Notwithstanding any other provision of law, the Secretary shall establish a limit on total out-of-pocket expenses for individuals enrolled in Part E.
SEC. 202. PERMANENT AFFORDABILITY TRUST FUND.
(a) ESTABLISHMENT.—There is established in the Treasury of the United States a trust fund to be known as the “Federal Health Affordability Trust Fund”.
(b) PERMANENT SUBSIDY MANDATE.—The Secretary shall ensure that premiums for Part E do not exceed 8.5 percent of an individual’s household income.
TITLE III—PROVIDER PARTICIPATION AND PRICE NEUTRALITY
SEC. 301. THE PUBLIC OPTION COMPACT.
(a) CONDITION OF PARTICIPATION.—Any provider of services (as defined in section 1861(u)) that participates in the Medicare program under title XVIII or the Medicaid program under title XIX shall be required to participate in the Medicare Public Option under Title II of this Act.
(b) SITE-NEUTRAL PAYMENTS.—Section 1833(t) of the Social Security Act is amended to require that payment for outpatient services be made on a site-neutral basis, aligning hospital outpatient department rates with physician fee schedule rates.
TITLE IV—FINANCING AND SOLVENCY
SEC. 401. AMENDMENTS TO THE INTERNAL REVENUE CODE.
(a) ULTRA-WEALTH TAX.—The Internal Revenue Code of 1986 is amended by inserting after chapter 2 the following new chapter:
“CHAPTER 2A—TAX ON NET WORTH OF ULTRA-WEALTHY INDIVIDUALS”
(1) IMPOSITION OF TAX.—In the case of any individual with a net worth exceeding $50,000,000, there is hereby imposed a tax equal to 0.33 percent of the net worth of such individual.
(b) PAYROLL TAX ADJUSTMENT.—Section 3101(b) of the Internal Revenue Code (Hospital Insurance) is amended by increasing the rate of tax by 0.11 percent for employers and 0.11 percent for employees.
