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State Public Option Act: Expanding Access to Affordable Health Insurance

This act aims to expand access to health insurance by broadening the Medicaid program. It allows states to offer low-cost insurance plans to more individuals. Citizens can now buy into Medicaid coverage, even if they previously didn't qualify for free medical assistance, potentially reducing their healthcare expenses.
Key points
New option for state residents to buy into Medicaid coverage if not concurrently enrolled in another health insurance plan, starting January 1, 2026.
States may impose premiums and cost-sharing, but with limitations to ensure affordability (up to 8.5% of household income).
Eligibility for premium assistance tax credits for individuals purchasing Medicaid coverage under this new option.
Increased payment rates for primary care physicians and other providers under Medicaid to improve service accessibility.
States are required to cover comprehensive sexual and reproductive health care services, including abortion services, under Medicaid starting January 1, 2026.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_S_2073
Sponsor: Sen. Schatz, Brian [D-HI]
Process start date: 2025-06-12
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash-preview-05-20
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_S_2073.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2025-06-12.

What are the main provisions?

Key points include:

  • New option for state residents to buy into Medicaid coverage if not concurrently enrolled in another health insurance plan, starting January 1, 2026.
  • States may impose premiums and cost-sharing, but with limitations to ensure affordability (up to 8.5% of household income).
  • Eligibility for premium assistance tax credits for individuals purchasing Medicaid coverage under this new option.
  • Increased payment rates for primary care physicians and other providers under Medicaid to improve service accessibility.
  • States are required to cover comprehensive sexual and reproductive health care services, including abortion services, 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 Sen. Schatz, Brian [D-HI].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-23.

CATEGORIES

Health