The bill is a memorial from the Washington State Legislature expressing opposition to the privatization of Medicare and advocating for reforms to strengthen Original Medicare. It highlights the efficiency of Original Medicare, which has low administrative costs, and raises concerns about the financial burdens imposed by privatized Medicare programs, such as Medicare Advantage, which can take a significant portion of funds for administration and profits. The memorial cites reports of fraudulent practices that have led to substantial overcharging of the Medicare trust fund and beneficiaries, urging the federal government to take action to protect vulnerable populations.

To enhance Original Medicare, the memorial proposes several key reforms: eliminating the 20 percent copays, establishing an out-of-pocket cap on medical expenses, adding benefits like dental, vision, and hearing coverage, reducing excessive administrative costs in Medicare Advantage, and recouping funds lost to overpayments and fraud. These changes aim to create a more equitable healthcare system for seniors and disabled individuals, ensuring they have a genuine choice between public and private healthcare options without incurring additional costs.