Who proposed a health care reform package that requires each citizen or lawful permanent resident to be covered under a qualified health plan or equivalent health care program .? A. Bill Clinton B. Hillary Clinton C. Barack Obama D. Republican senators. The correct answer is D. In 1993, Republican senators including current Senators Grassley, Hatch and Lugar proposed an individual mandate in an alternative to the Clinton health care bill. Then, Republican lawmakers felt an obligation to offer an alternative rather than just shouting, Baby killer! and Hell no you cant! Obama, Pelosi, Reid and conservative policies .