Bill > S3369

This bill establishes a new public health insurance option called the Medicare Exchange Health Plan, which would be available in both individual and small group markets starting in 2028. The plan aims to provide low-cost, quality healthcare by leveraging existing Medicare reimbursement rates and implementing innovative payment mechanisms. Key provisions include establishing two initial funds totaling $2 billion for plan administration and technology, requiring the plan to offer silver and gold coverage levels, and providing primary care services without cost-sharing. The bill also includes provisions to encourage provider participation, with healthcare providers potentially needing to participate in the plan to be enrolled in Medicare or Medicaid. Additionally, the legislation expands healthcare tax credits, removes restrictions on Medicare drug price negotiations, and allocates funds to strengthen antitrust enforcement in healthcare markets. The plan is designed to be self-funded through premiums and includes provisions to reduce health disparities, improve care coordination, and potentially integrate medical care with social services.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/3369/all-info