Establishing a Public Health Insurance Option under the Affordable Care Act.
This bill amends the ACA to create a public health insurance option, available on the Exchanges starting in 2027, designed to boost competition and affordability. This option must be self-sustaining through premiums and offer Bronze, Silver, and Gold plans, adhering to existing ACA quality standards. For citizens, this introduces a new, potentially lower-cost health coverage choice, utilizing provider payment rates based on negotiation or existing Medicare rates.
Key points
A new Public Health Insurance Option will be available on health insurance Exchanges starting January 1, 2027.
The primary goal is to provide affordable, high-quality coverage, increasing competition and choice nationwide.
Premiums must be set high enough to fully cover all health benefits and administrative costs (self-financing model).
Healthcare providers participating in Medicare or Medicaid will automatically be included in the Public Option network unless they actively opt out.
Status:
Introduced
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