Bill > HR4974

This bill, the State Public Option Act, aims to establish a state-based public option through Medicaid to provide Americans with a choice of a high-quality, low-cost health insurance plan. The key provisions of the bill include: 1. Allowing states to offer Medicaid coverage to residents who are not enrolled in other health insurance plans, subject to the payment of premiums or cost-sharing charges. The federal government would provide enhanced matching funds for administrative expenses related to this Medicaid buy-in program. 2. Requiring states to provide at least minimum essential coverage to individuals who buy into Medicaid, with cost-sharing limits and the availability of cost-sharing reductions similar to those offered through the Affordable Care Act. 3. Allowing individuals who buy into the Medicaid buy-in program to be eligible for premium tax credits and cost-sharing reductions under the Affordable Care Act. 4. Renewing and expanding the requirement for Medicaid to pay primary care providers at Medicare rates, including additional provider types such as obstetricians and advanced practice clinicians. 5. Increasing the federal medical assistance percentage (FMAP) for states that expanded Medicaid under the Affordable Care Act. 6. Requiring Medicaid to cover comprehensive reproductive health care services, including abortion services.

Business and Industry, Health and Social Services

https://www.congress.gov/bill/117th-congress/house-bill/4974/all-info