Bill > S2032

This bill creates a new Medicare Part E public health plan that would be available in the individual, small group, and large group markets, offering comprehensive health coverage with several key features. The Medicare Part E plans would provide gold-level coverage, include all Medicare benefits, cover essential health benefits, and explicitly include reproductive services. Any U.S. resident not already enrolled in Medicare, Medicaid, or CHIP would be eligible to enroll, and employers could voluntarily offer these plans. The Secretary of Health and Human Services would establish premium rates to fully cover health benefits and administrative costs, negotiate provider reimbursement rates, and ensure network adequacy. The bill also includes provisions to enhance premium assistance credits, reduce out-of-pocket costs for Medicare beneficiaries, establish a reinsurance and affordability fund, and expand insurance rating rules. Additionally, the bill includes a "sense of Congress" statement supporting comprehensive reproductive health coverage and aims to protect consumers from excessive or discriminatory insurance rates. The Medicare Part E plans would be funded through an initial $2 billion appropriation and would begin offering coverage in 2026, with the goal of providing a more accessible and affordable health insurance option for Americans.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/2032/all-info