Bill > HR5011

This bill, called the Choose Medicare Act, aims to establish public health plans known as "Medicare Part E" that would be available in the individual, small group, and large group markets. The key provisions of the bill include: - Requiring the Secretary of Health and Human Services to establish Medicare Part E plans that provide comprehensive coverage, including essential health benefits and all items and services covered under traditional Medicare. These plans would be offered through the Exchanges and be available to any U.S. resident not already enrolled in Medicare, Medicaid, or CHIP. - Allowing employers to offer Medicare Part E plans to their employees, with the Secretary serving as a third-party administrator for employer-sponsored Medicare Part E plans. The bill also requires employers without affordable employer-sponsored coverage to refer employees to Exchange navigators. - Protecting Medicare fee-for-service beneficiaries from high out-of-pocket costs by establishing an annual out-of-pocket limit. - Requiring the Secretary to negotiate prescription drug prices for Medicare Part E plans, using the lower of the VA or "Big Four" price if negotiations fail. - Enhancing premium tax credits and cost-sharing reductions in the Affordable Care Act exchanges. - Establishing a reinsurance and affordability fund to help stabilize the individual insurance market. - Expanding rating rules in the Affordable Care Act to apply to the large group market. Overall, the bill aims to create a new public option for health coverage and build upon the Affordable Care Act to expand access and affordability.