Bill > S1180

This bill, the Choose Medicare Act, aims to establish public health plans called "Medicare Part E" that would be available in individual, small group, and large group markets. The key provisions of the bill include: 1. Establishing Medicare Part E plans that would provide gold-level coverage of essential health benefits and all items and services covered under traditional Medicare, including reproductive services. These plans would be offered through federal and state health insurance exchanges. 2. Making all Medicare providers eligible to participate in Medicare Part E plans, and requiring negotiation of provider reimbursement rates that are not lower than Medicare rates but not higher than the average rates paid by other insurers. 3. Expanding eligibility for premium assistance tax credits under the Affordable Care Act by increasing the income eligibility threshold from 400% to 600% of the federal poverty level. 4. Enhancing cost-sharing reductions for eligible individuals enrolled in gold-level plans on the exchanges. 5. Establishing a reinsurance and affordability fund to provide reinsurance or cost-sharing assistance for individual market plans. 6. Extending the Affordable Care Act's rating rules, which limit premium variation based on age and other factors, to the large group market. Overall, the bill aims to provide a public health insurance option while also enhancing the affordability and generosity of coverage on the individual and small group markets.