Bill > S2073

This bill establishes a State Public Option program through Medicaid, allowing Americans to buy into Medicaid coverage starting January 1, 2026, for individuals who are not already enrolled in another health insurance plan. The bill creates a new optional coverage pathway for states, where individuals can purchase Medicaid coverage with premiums and cost-sharing charges. The premium cost is capped at 8.5% of household income, and individuals will be eligible for premium tax credits similar to those available for marketplace health plans. The bill also includes provisions for advanced premium tax credit payments, managed care enrollment, and quality measure reviews. Additionally, the legislation includes provisions to renew and expand Medicare payment rate floors for primary care services, increase federal matching funds for newly eligible Medicaid individuals, and mandate comprehensive sexual and reproductive health care services, including abortion services, be included as part of Medicaid coverage. The goal is to provide a high-quality, low-cost health insurance option for Americans who might not have affordable coverage through other means, with specific protections to ensure the coverage is accessible and comprehensive.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/2073/all-info