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Medicare-X Choice Act: Public Health Plan, Drug Negotiation, and Expanded Subsidies.

This bill establishes a new public health insurance option (Medicare-X Choice) available on ACA Exchanges, aiming for nationwide availability by 2029, prioritizing high-cost areas. It removes the income cap for ACA premium tax credits and fixes the “family glitch,” making subsidized coverage affordable for millions more families. Crucially, it grants the government authority to negotiate prescription drug prices.
Key points
A new public health plan (Medicare-X Choice) will be introduced, offering low-cost coverage and requiring no cost-sharing for primary care services.
ACA subsidies are expanded by eliminating the income cap and fixing the “family glitch,” significantly lowering insurance costs for many households.
The government gains the power to negotiate prescription drug prices, potentially leading to lower medication costs for consumers.
Most providers participating in Medicare or Medicaid must also accept the new public plan, ensuring broad access.
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Additional Information
Print number: 118_S_4616
Sponsor: Sen. Bennet, Michael F. [D-CO]
Process start date: 2024-06-20