Bill > HR3257

This bill, known as the "Bridge to Medicaid Act of 2025," aims to ensure affordable health insurance coverage for low-income individuals in states that have not expanded Medicaid. The bill introduces several key provisions for plan years 2026-2028: it reduces cost-sharing for individuals with household incomes up to 138% of the poverty line, creating a special enrollment period and increasing health plan coverage to 99% of total allowed costs; provides additional benefits like non-emergency medical transportation for low-income individuals; establishes new outreach and education activities to inform eligible populations about health insurance options; and modifies premium tax credits to make health insurance more accessible. The bill also increases the federal medical assistance percentage (FMAP) for newly eligible Medicaid individuals, raising it to 93% for 2026-2028 and 90% thereafter. These provisions are designed to help low-income individuals in non-Medicaid expansion states access more affordable health coverage by reducing out-of-pocket costs, expanding enrollment opportunities, and providing additional support through targeted outreach and supplemental benefits.

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https://www.congress.gov/bill/119th-congress/house-bill/3257/all-info