Medical Security: Blueprint
A resilient medical system requires integrated surveillance, robust supply chains, adaptable care delivery, and an empowered workforce. This blueprint maps interventions across those domains.
The American Health Security and Economic Prosperity Act of 2026
119th CONGRESS
1st Session
S. / H.R. ___
An Act
To establish a universal health security program for all residents of the United States, to reduce the cost of prescription drugs and ensure the security of the pharmaceutical supply chain, to strengthen the healthcare safety net, to provide for a transition to a value-based healthcare system, to stimulate economic growth, and for other purposes.
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.
- Short Title.—This Act may be cited as the “American Health Security and Economic Prosperity Act of 2026”.
- Table Of Contents.—The table of contents for this Act is as follows:
DIVISION A—THE AMERICAN HEALTH SECURITY PROGRAM
Title I—Universal Entitlement to Health Coverage
Title II—Benefits and Cost-Sharing
Title III—Financing the American Health Security Program
Title IV—Provider Participation and Payment Reform
DIVISION B—PRESCRIPTION DRUG AFFORDABILITY AND SUPPLY CHAIN RESILIENCE
Title V—Prescription Drug Negotiation and Pricing
Title VI—Supply Chain Transparency and Security
Title VII—Safe Personal Importation and International Cooperation
DIVISION C—STRENGTHENING THE HEALTHCARE SAFETY NET AND CONSUMER PROTECTIONS
Title VIII—Mandatory Community Benefit Standards for Non-Profit Hospitals
Title IX—Enhanced Insurance Regulations and Consumer Protections
Title X—Support for Vulnerable Populations
DIVISION D—TRANSITION, IMPLEMENTATION, AND ECONOMIC STABILIZATION
Title XI—Transition Authority and "Day 1" Implementation
Title XII—The Health Security Transition Trust Fund
Title XIII—Workforce and Economic Development Programs
Title XIV—Information Technology and Data Infrastructure
DIVISION E—BUDGETARY EFFECTS, DEFICIT REDUCTION, AND ECONOMIC IMPACT
Title XV—Offsets and Financing
Title XVI—Congressional Budget Office Analysis and Reporting
DIVISION F—GENERAL PROVISIONS AND CONFORMING AMENDMENTS
Title XVII—General Provisions
Title I—Universal Entitlement to Health Coverage
Title II—Benefits and Cost-Sharing
Title III—Financing the American Health Security Program
Title IV—Provider Participation and Payment Reform
DIVISION B—PRESCRIPTION DRUG AFFORDABILITY AND SUPPLY CHAIN RESILIENCE
Title V—Prescription Drug Negotiation and Pricing
Title VI—Supply Chain Transparency and Security
Title VII—Safe Personal Importation and International Cooperation
DIVISION C—STRENGTHENING THE HEALTHCARE SAFETY NET AND CONSUMER PROTECTIONS
Title VIII—Mandatory Community Benefit Standards for Non-Profit Hospitals
Title IX—Enhanced Insurance Regulations and Consumer Protections
Title X—Support for Vulnerable Populations
DIVISION D—TRANSITION, IMPLEMENTATION, AND ECONOMIC STABILIZATION
Title XI—Transition Authority and "Day 1" Implementation
Title XII—The Health Security Transition Trust Fund
Title XIII—Workforce and Economic Development Programs
Title XIV—Information Technology and Data Infrastructure
DIVISION E—BUDGETARY EFFECTS, DEFICIT REDUCTION, AND ECONOMIC IMPACT
Title XV—Offsets and Financing
Title XVI—Congressional Budget Office Analysis and Reporting
DIVISION F—GENERAL PROVISIONS AND CONFORMING AMENDMENTS
Title XVII—General Provisions
DIVISION A—THE AMERICAN HEALTH SECURITY PROGRAM
TITLE I—UNIVERSAL ENTITLEMENT TO HEALTH COVERAGE
Sec. 1001. Establishment of the American Health Security Program.- IN GENERAL.—Notwithstanding any other provision of law, there is established in the Department of Health and Human Services (HHS) the American Health Security Program (in this Act referred to as the “Program”) to provide comprehensive health coverage for all residents of the United States.
- UNIVERSAL ENROLLMENT.
- EFFECTIVE DATE ENROLLMENT.—On the effective date established in Title XI, all legal U.S. residents shall be automatically enrolled in the Program.
- ONGOING ENROLLMENT.—Any individual who establishes residency after the effective date shall be automatically enrolled upon verification of residency by the Social Security Administration.
- NO PREMIUMS.—No premiums, contributions, or other similar payments shall be charged to any individual for Tier 1 benefits described in Title II.
TITLE II—BENEFITS AND COST-SHARING
Sec. 2001. Comprehensive Benefits Package.- HOSPITAL SERVICES.—Inpatient and outpatient hospital care, including room and board, nursing services, and medical supplies.
- PROFESSIONAL SERVICES.—Services provided by physicians, nurse practitioners, physician assistants, certified nurse midwives, and other qualified health professionals, including telehealth services.
- PRESCRIPTION DRUGS AND BIOLOGICALS.—All prescription drugs, biological products, and medically necessary over-the-counter medications as determined by the Secretary.
- MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES.—Including inpatient, outpatient, intensive outpatient, and residential treatment.
- DENTAL, VISION, AND HEARING SERVICES.—Comprehensive dental care (including restorative and periodontal services), vision exams and corrective lenses, and hearing exams and hearing aids.
- LONG-TERM SERVICES AND SUPPORTS.—Home and community-based services, nursing facility care, and personal care services.
- PREVENTIVE AND WELLNESS SERVICES.—All services rated "A" or "B" by the United States Preventive Services Task Force, routine immunizations, and annual wellness visits.
- EMERGENCY SERVICES.—Emergency medical services, including ambulance services and care in hospital emergency departments.
- MATERNITY AND NEWBORN CARE.—Prenatal care, labor and delivery, postpartum care, and well-baby care.
- REHABILITATIVE AND HABILITATIVE SERVICES.—Physical therapy, occupational therapy, speech-language pathology, and audiology services.
- LABORATORY AND DIAGNOSTIC SERVICES.—Radiology, pathology, and other diagnostic services.
- PEDIATRIC SERVICES.—Including services provided under the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program.
- CHIROPRACTIC SERVICES AND ALTERNATIVE MEDICINE.—As determined by the Secretary based on clinical efficacy.
- END-OF-LIFE CARE.—Including palliative care and hospice services.
- MEDICAL EQUIPMENT AND SUPPLIES.—Durable medical equipment, prosthetics, orthotics, and other medically necessary supplies.
This comprehensive legislation provides the statutory framework to achieve large-scale transformation of the American healthcare system: universal coverage, cost control, supply chain resilience, and a stronger public health infrastructure.
Aegis Health Security Initiative: A National Health Protection Plan for Every American
Executive Summary
America's healthcare system loses significant resources to fraud and inefficiency. The Aegis Health Security Initiative aims to reduce fraud, improve care quality, and make healthcare more affordable and secure for all.
The Problem
- Medical identity theft and phantom billing erode trust and waste taxpayer dollars.
- Fragmented records and supply chain fragility impair care delivery and surge response.
Core Components
- Aegis Health ID: A privacy-preserving universal health identifier to reduce fraud and enable seamless provider interactions.
- Supply Chain Resilience: Decentralized caches, inventory telemetry, and public-private surge contracts.
- Surveillance & Response: Genomic sequencing, wastewater monitoring, and unified reporting.
Day-to-day Flow
- Visit doctor → Present Aegis Health ID
- System verifies identity, fetches authorized history
- Doctor reviews integrated record and recommended treatments
- Bill processed with real-time fraud checks
- You review charges in a simple app with full transparency
Part 3: The Council on Medical Security
An independent watchdog modeled on the CFPB with subpoena and enforcement powers to protect patients and punish misuse.
- Subpoena authority, civil penalties up to $50,000 per violation, and patient restitution mandates
- Whistleblower protections with bounty rewards
- Rights for patients: audit, correction, restitution, prevention plans, portability
Part 4: How We Stop Fraud and Improve Care
Stopping the $300B theft
- Biometric Aegis ID — reduces identity theft dramatically
- Real-time digital verification — stops phantom billing
- Cross-pharmacy tracking — stops prescription fraud
- Transparent referrals and AI-based billing checks — prevents upcoding and kickbacks
Improving care
- Records portability — no repeated tests
- Personalized prevention plans — fewer late-stage diseases
- AI double-checks — reduces medical errors
- Paramedic access en route — better emergency outcomes
Part 5: Cost-Benefit Analysis
Investment: $47B over 7 years (development, hardware, training, Council)