Expanding Medicare Access and Lowering Healthcare Costs for All Americans.
This Act establishes a new public health insurance option, Medicare Part E, available to most Americans in individual and group markets, offering comprehensive, Gold-level coverage including all reproductive services. It also introduces a crucial annual out-of-pocket spending limit for traditional Medicare beneficiaries ($6,700 starting 2026) and significantly enhances Affordable Care Act (ACA) subsidies, making higher-quality Gold plans more affordable for millions. Regulatory authority over insurance rates is strengthened to protect consumers from excessive charges.
Key points
Creation of Medicare Part E, a public health plan option available on Exchanges and to employers, providing comprehensive coverage.
Implementation of a $6,700 annual out-of-pocket spending cap for individuals enrolled in traditional Medicare (Parts A and B), starting in 2026.
ACA subsidies are increased by basing tax credits on Gold-level plans instead of Silver plans, and the income cap for eligibility is permanently removed.
Strengthened government authority to review and correct health insurance rates deemed excessive or unjustified, including requiring consumer rebates.
Expired
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