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Expanding Medicare Access and Lowering Healthcare Costs for All Citizens

This Act establishes a new public health insurance option, "Medicare Part E," available to eligible residents in the individual and group markets, offering comprehensive, Gold-level coverage including reproductive services. It introduces an annual out-of-pocket spending cap for traditional Medicare beneficiaries and permanently enhances the generosity of Affordable Care Act (ACA) subsidies. These changes aim to improve access to insurance and provide financial protection against high medical bills.
Key points
Creation of a new public health plan (Medicare Part E) available to residents not currently on Medicare, Medicaid, or CHIP, including coverage for reproductive services.
Implementation of an annual out-of-pocket spending limit for traditional Medicare (Parts A and B), set at $6,700 for 2027.
Permanent enhancement of ACA premium subsidies by basing them on Gold-level plans instead of Silver, and eliminating the income cap for eligibility.
Strengthening federal and state authority to review and correct health insurance rates deemed excessive or unjustified.
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Status: Introduced
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Additional Information
Print number: 119_S_2032
Sponsor: Sen. Merkley, Jeff [D-OR]
Process start date: 2025-06-11