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Choose Medicare Act: New Public Health Option, Lower Costs, and Subsidy Boost.

This Act establishes Medicare Part E, a new public health plan available across all insurance markets, offering comprehensive Gold-level benefits, including reproductive services. It introduces a crucial annual out-of-pocket spending cap ($6,700 starting 2026) for traditional Medicare beneficiaries and significantly enhances ACA subsidies by basing them on Gold-level plans, making coverage more affordable for millions.
Key points
Creation of Medicare Part E, a new public health insurance option available to most US residents, offering comprehensive coverage including reproductive services.
Implementation of an annual out-of-pocket spending limit ($6,700 starting 2026) for beneficiaries in traditional Medicare (Parts A and B).
Increased financial assistance (ACA subsidies) for purchasing insurance by changing the benchmark plan from Silver to Gold, lowering monthly premiums for many citizens.
Strengthened federal and state authority to review and correct excessive, unjustified, or unfairly discriminatory health insurance rates, protecting consumers from high premium increases.
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Additional Information
Print number: 118_S_4231
Sponsor: Sen. Merkley, Jeff [D-OR]
Process start date: 2024-05-01