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Liberal Sen. Bernie Sanders is ready to unveil his bill for creating a system where the government provides health insurance for everybody. Republican senators are ready to release details of a last-ditch effort to repeal and replace President Barack Obama's health care law. Besides focusing on health, the rival packages have something else in common. Neither is likely going anywhere soon. (Fram, 9/13)

Sanders’s bill, the Medicare for All Act of 2017, has no chance of passage in a Republican-run Congress. But after months of behind-the-scenes meetings and a public pressure campaign, the bill is already backed by most of the senators seen as likely 2020 Democratic candidates — if not by most senators facing tough reelection battles in 2018. (Weigel, 9/12)

Single-payer refers to a government-run health insurance system, though details can vary. Mr. Sanders’s bill would create a national Medicare-like insurance system and eliminate most out-of-pocket costs for individuals. The surge in support rests on several factors, political analysts said, including a rise in populist sentiment and a growing acceptance of the 2010 Affordable Care Act’s principle that the government should provide coverage if necessary. Backers of a single-payer plan have also been emboldened by the faltering of the Republicans’ push to repeal the 2010 law, commonly known as Obamacare, which polls suggest grew more popular as a result. (Armour and Hackman, 9/13)

Sen. Bernie Sanders rode his impassioned liberal army of supporters through a tumultuous 2016, fighting to snatch the Democratic presidential nomination from Hillary Clinton. Now he's disrupting the party anew, forcing Democrats to take sides over his plan to provide government-financed health care for all. (Fram, 9/12)

Connecticut Sen. Chris Murphy, one of the few Democrats subject to 2020 speculation who has not signed on to the Sanders bill, warned against letting the party’s attention slip to “longer-term health care policy” while the future of the Affordable Care Act remains up for debate. “I think the risk is that we get distracted,” Murphy told reporters. “September’s not done. They can still ram through a repeal bill.” (Schor, 9/13)

Democratic support for a single-payer health-care system has grown by bounds this year, attracting more lawmaker endorsements than any time in the past. But one group is conspicuously not on board: party leaders. Senate Minority Leader Charles Schumer (D-N.Y.) and House Minority Leader Nancy Pelosi (D-Calif.) on Tuesday previewed the much-anticipated release of Sen. Bernie Sanders’s (I-Vt.) “Medicare for all” bill by taking the notable step of refusing to throw their weight behind it. (Lillis, 9/12)

House Minority Leader Nancy Pelosi said Tuesday that single-payer health insurance is not a litmus test for Democrats and that she is focused on protecting health-care coverage under the Affordable Care Act. Pelosi (D-Calif.) declined to endorse “Medicare for All” legislation backed by Sen. Bernie Sanders (I-Vt.) and instead called on Democrats to release a wide range of proposals to fix and improve President Barack Obama’s signature health-care law. Her position on health care is the latest evidence that Democrats in the House are willing to ignore pressure from liberal factions aiming to drive the party further to the left. (Snell and Weigel, 9/12)

"Right now, I’m protecting the Affordable Care Act," Pelosi told reporters Tuesday, according to the Los Angeles Times. "None of these other things, whether it’s Bernie’s [bill], can really prevail unless we have the Affordable Care Act protected." (Hellmann, 9/12)

Senate Minority Leader Charles Schumer (D-N.Y.) is staying on the sidelines on a single-payer health care bill being rolled out this week by Sen. Bernie Sanders (I-Vt.). "Democrats believe that health care is a right for all, and there are many different bills out there. There are many good ones," Schumer told reporters during a weekly leadership press conference. (Carney, 9/12)

Here’s where Senate Democrats stand so far; check back for updates. (Roubein, 9/12)

More than a dozen Senate Democrats are flirting with a single-payer health-care system, marking a shift within the party on what was once viewed as a politically treacherous issue that attracted little support from lawmakers. Thirteen senators are co-sponsoring a measure to be proposed Wednesday by Senator Bernie Sanders, a Vermont independent, that would expand Medicare coverage to all Americans. That’s a significant change from 2013 when Sanders, who lost the 2016 Democratic presidential nomination to Hillary Clinton, attracted no co-sponsors. (John, 9/13)

The Senate’s most conservative Democrat said Tuesday Congress should consider adopting a single-payer health-care system, a sign of how fast politics are shifting on what was once seen as a fringe issue on the left. "It should be explored," said West Virginia Senator Joe Manchin, who faces re-election next year in a state President Donald Trump carried by 42 points. "I want to know what happens in all the countries that have it -- how well it works or the challenges they have." (Kapur, 9/12)

Senators who have said they would sign on to the plan include Sens. Kamala Harris, D-Calif.; Elizabeth Warren, D-Mass;, Jeff Merkley, D-Ore.; Cory Booker, D-N.J.; Tammy Baldwin, D-Wis.; Kirsten Gillibrand, D-N.Y.; Mazie K. Hirono, D-Hawaii; Sheldon Whitehouse, D-R.I.; and Richard Blumenthal, D-Conn. “It’s an idea whose time is come,” Blumenthal told reporters on Tuesday. “It’s not in any way a litmus test, it’s not in any way critical of the Affordable Care Act. It’s just the next step.” (McIntire, 9/13)

Even as federal lawmakers consider short-term repairs to the Affordable Care Act, a growing number of Democrats including Sen. Al Franken are looking more long-term. The Minnesota Democrat announced Tuesday that he has signed on as a cosponsor of Vermont Sen. Bernie Sanders’ “Medicare for All” single-payer health care plan, calling health care “a right for all Americans.” (Brooks, 9/12)

Sen. Marty has put forward a proposal called the Minnesota Health Plan. It's a single-payer health care system in which the state finances basic health care costs for all residents through taxation. (Weber, 9/12)

A Democratic candidate for governor is proposing a Medicaid-for-all health care system in Colorado, endorsing a public option at the state level amid the gridlock on health care in Congress. Cary Kennedy said she wants to allow anyone on the individual market to join the Medicaid system or the state employee health care plan to provide more affordable and high-quality health care options. (Frank, 9/12)