US Representative Pramila Jayapal (D-WA) introduced HR 1384 Wednesday, proposing a sweeping national health insurance reform plan.

The bill proposes a new system called Medicare for All, which would overhaul the current Medicare scheme and make it available to all residents of the US. The Secretary of Health and Human Services would be given broad new authority that would range from defining residents for the purposes of the bill to developing a national health budget and negotiating the cost of procedures and prescription drugs directly with prescription drug companies. Insurance companies would be prohibited from competing directly with the government Medicare plan but would be allowed to operate and offer coverage not in competition with the government. Senior citizens would be folded into the new Medicare scheme, which would provide them greater coverage than they receive currently and include coverage for preexisting conditions and long term care. Under the bill, the new scheme would be developed and rolled out over the course of two years.

The bill is cosponsored by more than 106 House Democrats including newcomers Alexandria Ocasio-Cortez (D-NY) and Ilhan Omar (D-MN) and senior members Sheila Jackson Lee (D-TX) and Jose Serrano (D-NY). The bill proposes broader reforms than S. 1804, which was introduced by Bernie Sanders (I-VT) in the Senate in 2017. Sanders’ bill was read twice and referred to the Senate Committee on Finance. The new bill was introduced Wednesday and referred to six committees, including Energy and Commerce, Ways and Means, Rules, Education and Labor, Oversight and Reform, and Armed Services to review separate provisions within their respective jurisdictions over a period to be determined by the Speaker.

Medicare for All is expected to be a significant issue in the 2020 Democratic platform to address public concerns about rising health care costs.