State Public Option Act

Sponsored byRep. Schrier, Kim [D-WA-8]WA· Introduced 12 June 2025

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Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

12 June 2025·1 year ago

Summary

Introduced in House · Updated 18 November 2025

State Public Option Act

This bill allows residents who are not already eligible for Medicaid and not concurrently enrolled in other health insurance coverage to buy into a state Medicaid plan beginning January 1, 2026, at the option of the state. State Medicaid programs may set premiums and cost-sharing requirements for such coverage in accordance with specified limitations.

The bill also (1) provides the enhanced Federal Medical Assistance Percentage (i.e., federal matching rate) to every state that expands Medicaid coverage for individuals who are newly eligible under the Patient Protection and Affordable Care Act, regardless of when such expansion takes place; and (2) requires state Medicaid programs to cover comprehensive sexual and reproductive health care services, including abortion services.

Timeline

4 actions

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
12 June 2025 · IntroReferral
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
12 June 2025 · IntroReferral
Introduced in House
12 June 2025 · IntroReferral
Introduced in House
12 June 2025 · IntroReferral

Sponsorship

0 cosponsors

Sponsor

Rep. Schrier, Kim [D-WA-8]WA

Classification

Policy area

Health

Track State Public Option Act as it moves through Congress