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State Public Option Act: New Health Insurance Choices Through Medicaid

This act aims to expand access to health insurance by allowing states to offer a Medicaid buy-in option. Residents without other coverage could access lower-cost health plans, potentially benefiting from premium tax credits.
Key points
Allows states to offer a Medicaid buy-in option for residents who are not currently enrolled in other health insurance.
States can charge premiums and cost-sharing, but with income-based limits similar to Affordable Care Act plans.
Individuals buying into Medicaid may be eligible for premium tax credits and cost-sharing reductions.
States can offer this insurance option through health insurance exchanges.
Requires states to develop metrics to measure patient access and satisfaction within Medicaid.
Renews and expands the requirement for Medicaid to pay primary care providers (including certain doctors, nurses, physician assistants, midwives, and clinics) at rates no less than Medicare rates.
Increases federal financial support for states that expand Medicaid coverage to new eligible groups.
Requires Medicaid to cover comprehensive reproductive health care services, including abortion services, starting January 1, 2023.
article Official text account_balance Process page
Expired
Citizen Poll
No votes cast
Additional Information
Print number: 117_HR_4974
Sponsor: Rep. Schrier, Kim [D-WA-8]
Process start date: 2021-08-06
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Summarized by: gemini-2.5-flash-preview-04-17
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

State Public Option Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 117_HR_4974.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2021-08-06.

What are the main provisions?

Key points include:

  • Allows states to offer a Medicaid buy-in option for residents who are not currently enrolled in other health insurance.
  • States can charge premiums and cost-sharing, but with income-based limits similar to Affordable Care Act plans.
  • Individuals buying into Medicaid may be eligible for premium tax credits and cost-sharing reductions.
  • States can offer this insurance option through health insurance exchanges.
  • Requires states to develop metrics to measure patient access and satisfaction within Medicaid.
  • Renews and expands the requirement for Medicaid to pay primary care providers (including certain doctors, nurses, physician assistants, midwives, and clinics) at rates no less than Medicare rates.
  • Increases federal financial support for states that expand Medicaid coverage to new eligible groups.
  • Requires Medicaid to cover comprehensive reproductive health care services, including abortion services, starting January 1, 2023.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Schrier, Kim [D-WA-8].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-28.

CATEGORIES

Health