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State Public Option Act: Expanding Medicaid for Affordable Health Coverage

This act aims to expand access to health insurance by allowing individuals to buy into Medicaid, providing a high-quality, low-cost health insurance option. It also seeks to improve the quality of primary care services and increase federal financial support for states. Additionally, the bill mandates coverage for comprehensive sexual and reproductive health services.
Key points
Individuals can buy into Medicaid coverage starting January 1, 2026, if not already enrolled in another health plan.
States can charge premiums and cost-sharing, limited to 8.5% of family income, with eligibility for premium tax credits.
Increased federal financial participation for states to cover administrative and medical costs for new Medicaid enrollees.
Renews and expands higher payment rates for primary care physicians and other providers under Medicaid to improve access.
Mandates coverage for comprehensive sexual and reproductive health care services, including abortion, under Medicaid starting January 1, 2026.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HR_3995
Sponsor: Rep. Schrier, Kim [D-WA-8]
Process start date: 2025-06-12
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Summarized by: gemini-2.5-flash
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 119_HR_3995.

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 2025-06-12.

What are the main provisions?

Key points include:

  • Individuals can buy into Medicaid coverage starting January 1, 2026, if not already enrolled in another health plan.
  • States can charge premiums and cost-sharing, limited to 8.5% of family income, with eligibility for premium tax credits.
  • Increased federal financial participation for states to cover administrative and medical costs for new Medicaid enrollees.
  • Renews and expands higher payment rates for primary care physicians and other providers under Medicaid to improve access.
  • Mandates coverage for comprehensive sexual and reproductive health care services, including abortion, under Medicaid starting January 1, 2026.
What is the specific legal status?

The current status is Introduced.

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: Introduced in House

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-22.

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