The Alternatives to Marriage Project commends the Senate Finance Committee for taking a serious and thoughtful approach to the pressing problem of health insurance coverage. We are very grateful to the Committee for sharing its Description of Policy Options for Expanding Health Care Coverage and offering us the opportunity to comment. AtMP agrees that "a high-performing health system would guarantee all Americans affordable, quality coverage regardless of age, health status, or medical history." However, such a system will be inadequate if it does not provide equal coverage without regard to marital or relationship status. This paper presents AtMP's recommendations for improving the Policy Options by eliminating opportunities for marital status discrimination and ensuring that policy impacts do not disproportionately affect unmarried (or married) people.