American Healthcare Access & Integrity Act
Everyone can get health coverage if they want it — but nobody is forced to. Keep your employer plan if you like it. Sign up for Medicare if you prefer. Or stay uninsured if that's your choice. No mandates. No penalties. Just options.
🛡️ 100% Voluntary — Your Choice, Always
No mandates. No penalties. No government forcing you to do anything.
This law gives you ACCESS to health coverage — it doesn't require you to buy it. You can sign up, opt out, or stay exactly where you are. The choice is always yours.
Healthcare for All Workers
Essential workers, rural workers, veterans — everyone has access
💰 Premium Help for Low & Middle Income
If your family income is below 400% of the poverty level, you get help paying your premiums. A sliding scale means no one pays more than they can afford.
Sliding Scale AssistanceHeart disease, diabetes, cancer — it doesn't matter. No one can be denied coverage or charged more because of their health history.
Guaranteed Coverage👶 Newborns Covered Automatically
When a baby is born, they're enrolled in Medicare automatically. Parents have 90 days to opt out if they want. Extended opt-out window for the first year.
90-Day Opt-Out Window🎖️ Veterans Keep Their Benefits
VA benefits stay exactly the same. TRICARE stays the same. This law adds options — it doesn't take anything away from those who served.
Benefits Preserved👔 Employers Keep Complete Control
No employer mandates. No penalties. No new requirements. If you offer health benefits, that's great. If you don't, that's your choice too.
- No employer mandate — not required to offer coverage
- No penalties for coverage decisions
- Tax benefits preserved — same deductions as before
- Small business tax credit — enhanced for businesses under 50 employees
- Employer coverage stays primary — Medicare is secondary
- Wellness program support — help with prevention programs
160 Million
Americans with employer coverage — all protected
🌾 Better Healthcare for Rural America
More doctors, more telehealth, more access for farmers, ranchers, and rural communities
Telehealth Across State Lines
Specialists can now treat patients in rural areas across state lines using telehealth. A new federal Tele-Specialist credential makes it possible.
Higher Pay for Rural Doctors
Qualified Rural Independent Providers get higher Medicare payments. That means more doctors willing to serve small towns and farming communities.
Loan Forgiveness for Rural Providers
Doctors, nurses, and other providers who work in shortage areas can get their student loans forgiven. Serve rural America, and we'll help you.
🍎 Prevention & Wellness
Stop disease before it starts — voluntary programs and nutrition incentives
Diabetes Prevention Program
The CDC's proven diabetes prevention program gets expanded. If you're at risk, you can join for free. Lower your premiums by participating — completely voluntary.
Healthier Food Incentives
A small tax on added sugars and ultra-processed foods encourages healthier choices. The money goes to the Health Security Trust Fund to pay for coverage.
Mental Health Included
Mental health services are part of the essential benefits package. Depression, anxiety, substance abuse — all covered just like physical health.
Built-In Accountability
Deficit neutral, time-limited, and constantly reviewed
Access for Everyone. Mandates for No One.
This law opens the door to health coverage for all Americans — from birth to retirement. But it never forces anyone through that door. Keep your employer plan, sign up for Medicare, buy private insurance, or stay uninsured. The choice is always yours.