H.R. 4325: Health Security for All Americans Act

108th Congress · introduced 2004-05-11 · Health · Latest: Referred to the Subcommittee on Health.

federal

Follow this bill, step by step

Where it came from: introduced 2004-05-11 · official record
Who proposed it: Rep. Baldwin, Tammy [D-WI-2] · what a sponsor is
What happened next: no floor votes in our records yet. Why?
Where it stands now: Referred to the Subcommittee on Health. Not final yet: this can still change. We check for updates every day.
If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.

What does this mean?

Official title

Health Security for All Americans Act

Plain summary

Health Security for All Americans Act - Amends the Social Security Act to provide participating States with funding to provide health insurance coverage through State-administered plans targeted at low-income residents. Requires States to implement systems to ensure universal health insurance coverage for their residents by 2009, including by requiring employers to contribute to health insurance premiums for their employees. Requires health plans to: (1) create entities to serve as employers for their home care providers; (2) ensure that enrollees will continue to receive health services if the plan's services are terminated; and (3) supply the State with information on their health care workers. Incorporates the Bipartisan Patient Protection Act, as passed by the Senate on June 29, 2001, and the Patient Safety and Health Care Whistleblower Protection Act of 2001, as introduced on June 27, 2001. Establishes the Health Care Quality, Patient Safety, and Workforce Standards Institute (and a related advisory committee) within the Agency for Healthcare Research and Quality with a mission to demonstrate how patient safety issues and workplace conditions are linked to quality patient care, reduce medical errors, and improve patient safety and care. Requires that individuals entitled to Medicare benefits be provided full mental health and substance abuse treatment parity. Directs the Secretary of Health and Human Services to conduct research to identify model programs for the provision of long-term and home health care services. Expresses the sense of Congress that funds to implement this Act should be offset by: (1) general revenues available as a result of an on-budget surplus for a fiscal year; (2) direct saving in health care expenditures; and (3) reductions in unnecessary Federal tax benefits available to individuals and large corporations in the maximum tax brackets.

Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.

What a vote does

A “Yea” vote

If it passes both chambers and is signed, it becomes law.

A “Nay” vote

If it is not passed, current law stays as it is.

PSI Sci description of the legislative step (not an opinion).

What does this mean? (plain words)

Official text

Health Security for All Americans Act

Source: Congressional Research Service summary (Introduced in House)

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The strongest published arguments

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Alternatives

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How did my representative vote? · This bill's floor votes

Officials and money

Sponsor: Rep. Baldwin, Tammy [D-WI-2] · 15 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

Janice D. Schakowsky (D-IL)

Sponsor's campaign money: Rep. Baldwin, Tammy [D-WI-2] reported raising $3.5 million (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.

No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.

Words on this page, explained (2)

Fiscal year: The 12-month period a government uses for its budget. The federal fiscal year runs from October 1 to September 30 and is named for the calendar year in which it ends. Most states use July 1 to June 30.
Securities: Financial investments that can be bought and sold, such as stocks and bonds.

Plain meanings written from linked sources. All words.

Sources

Congressional Research Service summary (Introduced in House)
Congress.gov
Data: GovInfo BILLSTATUS bulk data (Library of Congress), BILLSTATUS-108hr4325.xml <https://www.govinfo.gov/bulkdata/BILLSTATUS/108/hr>

Record fed-us-cong108-hr4325 · catalog fed-us-congress-bills-cong108 · updated 2026-11-15 by psicol fed-bills-cong108