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House bill · 119th Congress · Latest step: Introduced

State-Based Universal Health Care Act of 2025

H.R. 4406Introduced Jul 15, 2025Policy area: Health

Official title: To amend title I of the Patient Protection and Affordable Care Act to authorize the establishment of, and provide support for, State-based universal health care systems that provide comprehensive health benefits to State residents, and for other purposes.

Sponsor: Rep. Ro Khanna D-CA
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Where it went

Latest action: Jul 15, 2025 — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Armed Services, Ways and Means, Oversight and Government Reform, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Cost and committee reports

Official records Congress.gov attaches to H.R. 4406.

Congress.gov’s record for this bill does not list a CBO cost estimate or a committee report (as of July 18, 2026). Not every bill gets one.

From the Congress.gov bill record for H.R. 4406, last updated July 18, 2026. PORKER’s copy was retrieved September 13, 2026 and is refreshed nightly. Open “Evidence” on any line for the record, field and file fingerprint.

Vote results

No recorded roll-call votes on this bill in PORKER’s records (voice votes and unanimous consent are not roll calls; roll-call records start in 2011).

Cosponsors

35 cosponsors — 35 Democrats

0 of 35 cosponsors (0%) are from the other party.

Yassamin Ansari (D-AZ), Becca Balint (D-VT), Suzanne Bonamici (D-OR), Janelle Bynum (D-OR), Sheila Cherfilus-McCormick (D-FL), Yvette Clarke (D-NY), Steve Cohen (D-TN), Christopher Deluzio (D-PA), Maxine Dexter (D-OR), Maxwell Frost (D-FL), Val Hoyle (D-OR), Jared Huffman (D-CA), Pramila Jayapal (D-WA), Summer Lee (D-PA), James McGovern (D-MA), Kweisi Mfume (D-MD), Jerrold Nadler (D-NY), Joe Neguse (D-CO), Eleanor Norton (D-DC), Johnny Olszewski (D-MD), Ilhan Omar (D-MN), Chellie Pingree (D-ME), Mark Pocan (D-WI), Ayanna Pressley (D-MA), Delia Ramirez (D-IL), Emily Randall (D-WA), Andrea Salinas (D-OR), Janice Schakowsky (D-IL), Adam Smith (D-WA), Melanie Stansbury (D-NM) and 5 more.

More from the sponsor

Other 119th Congress bills sponsored by Rep. Ro Khanna.

Related bills

Relationships as recorded by Congress.gov.

Sponsor’s state and district

California in Congress · CA-17 district

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Data as of Sep 25, 2026 · bill record checked by PORKER from Congress.gov · votes from Senate.gov and the House Clerk. PORKER is non-partisan.