arrow_back Trending Legislation
Share share

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 notifications_active Track this Bill
gavel
Status:
Expired
Record your position for audit.
Why does your vote on bills matter?
It creates raw, undeniable proof. Civic Will provides the permanent data to verify the Government's loyalty towards its citizens (explained here). Start recording it now.
Additional Information
State Public Option Act
Print number: HR 4974
Sponsor: Rep. Schrier, Kim [D-WA-8]
Process start date: 2021-08-06
System Note: Lustra is free, publicly auditable civic infrastructure, with full source code available on GitHub. You are reading sterilized legislative data, processed by our radical neutrality engine to strip political spin and retain factual mechanics. We process only official government data. Original documents remain the authoritative source, always verify them if you can.
Summarized by: gemini-2.5-flash-preview-04-17
Source data: api.congress.gov
AI work logs for this document launch
Summary & Status

Key Questions about State Public Option Act: New Health Insurance Choices Through Medicaid

A structured overview of the legislative process, official sources, status and civic context.

What is the official ID of this bill?

The official print number for this legislation is 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.

Analysis and Potential Impact of HR 4974

We don't know, that is up to you to decide. Summarizing raw data with AI is fundamentally different from predicting socio-economic outcomes. As of 2026, we believe impact assessment strictly requires a human in the loop to verify and judge. Review our public AI processing logs for full transparency, and use Lustra to track active legislation for instant status push notifications.

CATEGORIES

Health