WASHINGTON — Fourteen years after her first effort as first lady at overhauling the nation's health care system failed, Sen. Hillary Rodham Clinton unveils a new plan for universal health coverage Monday that she hopes will help get her back into the White House as president.

Critics dubbed the complex and far-reaching 1993 plan "Hillarycare," and said it would lead to a heavy-handed government-run system that was too complex.

"Nobody is going to be surprised when I unroll my coverage plan that I intend to dramatically rein in the influence of the insurance companies because, frankly, I think they have worked to the detriment of our economy and our health care system," Clinton told interviewer Charlie Rose during an Internet forum co-sponsored by Slate and The Huffington Post earlier this week.

With the number of uninsured Americans in the tens of millions, the 1993 plan would have provided universal coverage by establishing a standard health benefit plan for all Americans, mandating employers to offer coverage and establishing regional health alliances among states that also would offer coverage.

The 2007 version is also likely to be a form of government-managed competition that would require all employers to provide health insurance, according to Michael Tanner, a health care expert at the free-market oriented Cato Institute.

The two other leading Democratic candidates for president — Sen. Barack Obama of Illinois and former Sen. John Edwards of North Carolina — also have proposed employer mandates, Tanner said.

"It leaves health insurance in the hands of private companies, but they would be heavily regulated," Tanner said. "In many ways, it turns insurers into public utilities."

The plan for universal coverage Clinton is expected to outline at a medical center in Iowa is part of a larger health care agenda.

Clinton already has announced a seven-part plan for controlling health care costs she estimates would save $120 billion annually, including $77 billion in annual savings from moving to electronic record keeping.

Another piece would implement the National Medical Error Disclosure and Compensation Act — legislation she has proposed as a senator to cut malpractice costs by requiring physicians to disclose to patients their past mistakes.

The other parts include emphasizing prevention, managing chronic diseases such as diabetes, prohibiting insurance companies from excluding people from coverage, creation of a "best practices" institute and purchasing reforms such as allowing Medicare to negotiate drug prices.

"I hope the headline is Hillary is back, and we're going to get it done this time," Clinton said in her interview with Rose. "I've learned among other things that we've got to build a consensus. A plan is necessary but not sufficient. We've got to have a political consensus in order to withstand the enormous opposition from those interests that will have something to lose in a really reformed health care system."